Organization Active NPI

Childrens Therapy Specialists

  • Occupational Therapist
  • Davie, FL
National Provider Identifier
1427118512
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT10477 Issued in FL
Legal business name
CHILDRENS THERAPY SPECIALISTS
Practice address
8901 Orange Grove Dr
#C
Davie, FL 33324-6957
Phone
(954) 709-3513
Fax
(954) 474-0701
NPI assigned
Dec 11, 2006
Last updated
Apr 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Ms. Kathleen Marcella Dupont, MOTR
Title
President
Phone
(954) 709-3513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT10477 FL Primary

Addresses

Primary practice location

8901 Orange Grove Dr
#C
Davie, FL 33324-6957

Mailing address

8901 Orange Grove Dr
#C
Davie, FL 33324-6957
Phone (954) 709-3513

Other identifiers 2

IdentifierTypeStateIssuer
887557096MedicaidFL
887557000MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1427118512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 ORANGE GROVE DR",
            "address_2": "#C",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333246957",
            "telephone_number": "954-709-3513",
            "fax_number": "954-474-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 ORANGE GROVE DR",
            "address_2": "#C",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333246957",
            "telephone_number": "954-709-3513",
            "fax_number": "954-474-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS THERAPY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "DUPONT",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARCELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-709-3513",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MOTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT10477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887557096",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887557000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.