Monarch Life Skills & Play Center

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

MONARCH LIFE SKILLS & PLAY CENTER

Practice address

75 Fox Ridge CT Ste G
Debary, FL 32713-2701

Phone

(386) 785-6778

Fax

(386) 220-8710

NPI assigned

Jun 6, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Lynn Brow, MS, OTR/LNPI 1285098822

Title

Occupational Therapist

Phone

(386) 785-6778

Specialties & licenses 5

Addresses

Locations

Practitioners 1

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

• Jennifer Brow, OTR

  • Occupational Therapist
  • Debary, FL
  • NPI 1285098822
  NPD Authorized official

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

{
    "created_epoch": "1591401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1740804681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 TRADEWINDS DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327387791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FOX RIDGE CT STE G",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132701",
            "telephone_number": "386-785-6778",
            "fax_number": "386-220-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH LIFE SKILLS & PLAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-06",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "BROW",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "386-785-6778",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Miceli, MSW, LCSW
• Mid Florida Urgent Care LLC
• Craig Louis Miller, RBT
• Teresa Miller, LMT
• Anita Misra Goulart, DPM
• Richard C. Montz, DDS
• Christine E Moorhead, M.D.
• Daniela Mora del Toro, RBT
• Danielle Moran
• Patrick Michael Moriarty

• Pediatric Occupational Therapist in Debary, FL
• Providers in Debary, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.