Organization Active NPI

Children First Therapeutics LLC

  • Early Intervention Provider Agency
  • Palm Coast, FL
National Provider Identifier
1043466659
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
OT#10221 Issued in FL
Legal business name
CHILDREN FIRST THERAPEUTICS LLC
Practice address
65 Flemingwood LN
Palm Coast, FL 32137-9260
Phone
(386) 793-0612
Fax
(386) 447-5281
NPI assigned
Aug 14, 2008
Last updated
Aug 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Andrea Lee Munoz, OTR/LNPI 1104843754
Title
Occuptaional Therapist/Owner
Phone
(386) 793-0612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OT#10221 FL
Early Intervention Provider Agency 252Y00000X OT#10221 FL Primary

Addresses

Primary practice location

65 Flemingwood LN
Palm Coast, FL 32137-9260

Mailing address

65 Flemingwood LN
Palm Coast, FL 32137-9260
Phone (386) 793-0612

Other identifiers 1

IdentifierTypeStateIssuer
889829401MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1043466659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 FLEMINGWOOD LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321379260",
            "telephone_number": "386-793-0612",
            "fax_number": "386-447-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 FLEMINGWOOD LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321379260",
            "telephone_number": "386-793-0612",
            "fax_number": "386-447-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN FIRST THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OCCUPTAIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "386-793-0612",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "OT#10221",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "OT#10221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889829401",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.