NPIMap

Organization Active NPI

Advanced Therapy Inc

  • Early Intervention Provider Agency
  • Cocoa, FL
National Provider Identifier
1083857981
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ADVANCED THERAPY INC
Practice address
863 N Cocoa Blvd
Cocoa, FL 32922-7510
Phone
(321) 305-5965
Fax
(321) 305-5966
NPI assigned
Apr 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Ms. Amy B Williams
Title
Owner
Phone
(321) 305-5965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

863 N Cocoa Blvd
Cocoa, FL 32922-7510

Mailing address

863 N Cocoa Blvd
Cocoa, FL 32922-7510
Phone (321) 305-5965

National Provider Directory

National Provider Directory

Locations

863 N Cocoa Blvd
Cocoa, FL 32922
Phone (321) 264-2345

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1083857981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 N COCOA BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227510",
            "telephone_number": "321-305-5965",
            "fax_number": "321-305-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 N COCOA BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227510",
            "telephone_number": "321-305-5965",
            "fax_number": "321-305-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-305-5965",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.