Spark of Life Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

SPARK OF LIFE THERAPY LLC

Practice address

6781 Scott St
Hollywood, FL 33024-3936

Phone

(954) 477-1486

NPI assigned

Oct 17, 2024

Last updated

Oct 17, 2024By 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

Miraidys D HidalgoNPI 1316403447

Title

Slpa

Phone

(954) 477-1486

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miraidys De la Caridad Hidalgo

  • Behavior Analyst
  • Hollywood, FL
  • NPI 1316403447
  NPD Authorized official

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1386465953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6781 SCOTT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243936",
            "telephone_number": "954-477-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6781 SCOTT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243936",
            "telephone_number": "954-477-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK OF LIFE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "HIDALGO",
        "authorized_official_first_name": "MIRAIDYS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SLPA",
        "authorized_official_telephone_number": "954-477-1486"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Douglas Spechler
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• Occupational Therapist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.