CK Therapeutics LLC

Primary specialty

Driving and Community Mobility Occupational TherapistTaxonomy code 225XR0403X

License

OT8383 Issued in FL

Legal business name

CK THERAPEUTICS LLC

Practice address

7965 NW 109TH LN
Parkland, FL 33076-4741

Phone

(954) 260-7130

Fax

(954) 827-2900

NPI assigned

Aug 25, 2015

Last updated

Jun 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cathy K Kleinman-Barnett, O.T.

Title

Ceo

Phone

(954) 260-7130

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1265809297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7965 NW 109TH LN",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330764741",
            "telephone_number": "954-260-7130",
            "fax_number": "954-827-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7965 NW 109TH LN",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330764741",
            "telephone_number": "954-260-7130",
            "fax_number": "954-827-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CK THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "KLEINMAN-BARNETT",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-260-7130",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.T."
    },
    "taxonomies": [
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": "FL",
            "license": "OT8383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST LICENSE NUMBER",
            "identifier": "MA36200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST LICENSE NUMBER",
            "identifier": "OT8383",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.