Specialized Innovative Therapies, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SPECIALIZED INNOVATIVE THERAPIES, LLC

Practice address

14124 Aston Falls Dr
Haslet, TX 76052-2408

Phone

(817) 454-9930

Fax

(817) 439-5274

NPI assigned

Nov 29, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Torey Rasberry

Title

Program Director

Phone

(850) 319-3149

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291507200000",
    "number": "1114229036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14124 ASTON FALLS DR",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760522408",
            "telephone_number": "817-454-9930",
            "fax_number": "817-439-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14124 ASTON FALLS DR",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760522408",
            "telephone_number": "817-454-9930",
            "fax_number": "817-439-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED INNOVATIVE THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-12-05",
        "status": "A",
        "authorized_official_last_name": "RASBERRY",
        "authorized_official_first_name": "TOREY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "850-319-3149",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": "FL",
            "license": "09005",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruasha Shrestha, DMD
• Vanessa Carolina Simpson, PT, DPT
• Kristi Spencer Sivers, MS, CCC-SLP
• Solutions Psychiatry PLLC
• Bianka Soria-Olmos, D.O.
• Randi Spence, PT, DPT
• Katelyn Marie Spencer, CCC-SLP
• Sprout and Blossom Counseling Center
• Whitney Marie Stanback, LPN
• Steven D. Alaniz, DDS, PLLC

• In Home Supportive Care Agency in Haslet, TX
• Providers in Haslet, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2010; 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.