High Five Therapy, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

HIGH FIVE THERAPY, LLC

Practice address

1674 NW 143Rd Way
Pembroke Pines, FL 33028-3009

Phone

(954) 554-1633

NPI assigned

May 22, 2014

Organization subpart

No

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

Authorized official

Name

Jaison MetrockNPI 1366675084

Title

Owner

Phone

(954) 554-1633

Specialties & licenses 3

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaison Metrock, ITDS, COTA, SLPA

  • Developmental Therapist
  • Pembroke Pines, FL
  • NPI 1366675084
  NPD (past) Authorized official

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1295147478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 NW 143RD WAY",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330283009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 NW 143RD WAY",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330283009",
            "telephone_number": "954-554-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH FIVE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "METROCK",
        "authorized_official_first_name": "JAISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-554-1633"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003582700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana Helena Hidalgo, BCBA
• Ausberto Bienvenido Hidalgo
• Laura Hidalgo, MD
• Sused Hidalgo
• Arielle Higgs
• Gary Ronald Hill, D.O.
• Nicholas Hill
• Lakisha Hills Williams
• Hillside Manor Inc.
• Sharon R Hinds, M.S.

• Early Intervention Provider Agency in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Early Intervention Provider Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.