Active NPI
Boca Developmental Therapy Center, LLC
- Occupational Therapist
- Boca Raton, FL
National Provider Identifier
1285450726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dana Weine, M.S.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285153429 | Other | FL | RACHEL KHALIFA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Developmental Therapist
- Highland Park, IL
- NPI 1346434974
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.