Organization Active NPI

Viva Pediatric Therapy Inc

  • Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1639586415
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VIVA PEDIATRIC THERAPY INC
Practice address
6070 Glendale Dr
Boca Raton, FL 33433-3843
Phone
(614) 440-8066
NPI assigned
Jul 14, 2014
Last updated
Dec 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Anastasiya BoikovaNPI 1669889432
Title
Ceo
Phone
(614) 440-8066

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Occupational Therapist 225X00000X

Addresses

Primary practice location

6070 Glendale Dr
Boca Raton, FL 33433-3843

Mailing address

6070 Glendale Dr
Boca Raton, FL 33433-3843
Phone (614) 440-8066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210316002153 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6103232103 Receives reassigned benefits from 1 practitioner
Practice locations: Deerfield Beach, FL; Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

461 E Hillsboro Blvd
Ste 100
Deerfield Beach, FL 33441
Phone (954) 234-3557

461 E Hillsboro Blvd
Ste 1001
Deerfield Beach, FL 33441
Phone (614) 440-8066

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1639586415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 GLENDALE DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333843",
            "telephone_number": "614-440-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 GLENDALE DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333843",
            "telephone_number": "614-440-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVA PEDIATRIC THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "BOIKOVA",
        "authorized_official_first_name": "ANASTASIYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-440-8066"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.