Spectrum Therapy Services

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT11299 Issued in FL

Legal business name

SPECTRUM THERAPY SERVICES

Practice address

11011 Sheridan St
Suite 302
Cooper City, FL 33026-1505

Phone

(954) 499-1125

Fax

(954) 499-1123

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Tyler Harrold

Title

Office Manager

Phone

(954) 499-1125

Specialties & licenses 6

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1194770081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 SHERIDAN ST",
            "address_2": "SUITE 302",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "330261505",
            "telephone_number": "954-499-1125",
            "fax_number": "954-499-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 SHERIDAN ST",
            "address_2": "SUITE 302",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "330261505",
            "telephone_number": "954-499-1125",
            "fax_number": "954-499-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "HARROLD",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-499-1125",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 11987",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 9969",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 9973",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT11299",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 8125",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 7231",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889816200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Sonthonax
• Sonya D Lewis DMD PA
• South Broward Endoscopy L L C
• South Florida Sleep Solutions LLC
• Spectrum Life Care Services Inc
• Speech With Steph LLC
• Jennifer Anne Spinner, LCSW
• Sandy H Steinberg, PT CLT
• Step Rite Physical Therapy Inc
• Stephen M Sinkoe DPM PA

• Pediatric Occupational Therapist in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.