Organization Active NPI

Boca Developmental Therapy Center, LLC

  • Occupational Therapist
  • Boca Raton, FL
National Provider Identifier
1285450726
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
BOCA DEVELOPMENTAL THERAPY CENTER, LLC
Practice address
9293 Glades Rd Ste C
Boca Raton, FL 33434-3905
Phone
(561) 367-3606
NPI assigned
Dec 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Dana Weine, M.S.NPI 1346434974
Title
Co-Owner
Phone
(312) 493-4641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

9293 Glades Rd Ste C
Boca Raton, FL 33434-3905

Mailing address

9293 Glades Rd Ste C
Boca Raton, FL 33434-3905
Phone (561) 367-3606

Other identifiers 1

IdentifierTypeStateIssuer
1285153429OtherFLRACHEL KHALIFA

National Provider Directory

National Provider Directory

Locations

9293 Glades Rd
Ste C
Boca Raton, FL 33434
Phone (561) 367-3606

Practitioners & affiliated clinicians

Practitioners 1

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": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1285450726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9293 GLADES RD STE C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343905",
            "telephone_number": "561-367-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9293 GLADES RD STE C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343905",
            "telephone_number": "561-367-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA DEVELOPMENTAL THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-01",
        "status": "A",
        "authorized_official_last_name": "WEINE",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "312-493-4641",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RACHEL KHALIFA",
            "identifier": "1285153429",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.