Early Intervention Therapy Services, LLC.

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Legal business name

EARLY INTERVENTION THERAPY SERVICES, LLC.

Practice address

3531 Cunningham Rd
Orange Park, FL 32065-8228

Phone

(912) 663-1815

NPI assigned

Nov 21, 2024

Organization subpart

No

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

Authorized official

Name

Kandise Nicole SandersNPI 1790503118

Title

Owner, Itds

Phone

(912) 663-1815

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kandise Nicole Sanders

  • Developmental Therapist
  • Orange Park, FL
  • NPI 1790503118
  NPD Authorized official

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1447075759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 CUNNINGHAM RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320658228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 CUNNINGHAM RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320658228",
            "telephone_number": "912-663-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY INTERVENTION THERAPY SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "KANDISE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER, ITDS",
        "authorized_official_telephone_number": "912-663-1815"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Robert Dutkiewicz, LPTA
• Jurnee Dutremble
• Rachel Dykes
• Lisa Ann Dynan-Dobbertien, D.O.
• Shauna A Dysart
• Eat Play Learn Pediatric Therapy
• Angelica Hope Eaton
• Callista Eckert, DO
• Megan A Eckert, APRN FNP-BC
• April Marie Eckhardt

• Developmental Therapist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.