Spectrum Therapy Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

PT 16501 Issued in FL

Legal business name

SPECTRUM THERAPY INC

Practice address

9685 Vineyard CT
Boca Raton, FL 33428-4343

Phone

(561) 445-7956

Fax

(561) 372-0290

NPI assigned

Nov 12, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Mikayela Mikulinsky, MS, PT

Title

President

Phone

(561) 445-7956

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1164852158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9685 VINEYARD CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284343",
            "telephone_number": "561-445-7956",
            "fax_number": "561-372-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9685 VINEYARD CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284343",
            "telephone_number": "561-445-7956",
            "fax_number": "561-372-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "MIKULINSKY",
        "authorized_official_first_name": "MIKAYELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-445-7956",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "PT 16501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884400300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.