NPIMap

Organization Active NPI

Forever Young Therapy Services PA

  • Occupational Therapist
  • Miami Shores, FL
National Provider Identifier
1699347658
Registry record updated Jul 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
FOREVER YOUNG THERAPY SERVICES PA
Practice address
278 NE 97TH St
Miami Shores, FL 33138-2404
Phone
(917) 975-7213
NPI assigned
Jul 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2021

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

Authorized official

Name
Jill Campbell, OTR/LNPI 1437532611
Title
Director
Phone
(917) 975-7213

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

278 NE 97TH St
Miami Shores, FL 33138-2404

Mailing address

278 NE 97TH St
Miami Shores, FL 33138-2404
Phone (917) 975-7213

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1625875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625875200000",
    "number": "1699347658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 NE 97TH ST",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382404",
            "telephone_number": "917-975-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 NE 97TH ST",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382404",
            "telephone_number": "917-975-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER YOUNG THERAPY SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-10",
        "last_updated": "2021-07-10",
        "certification_date": "2021-07-10",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-975-7213",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; 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.