Therapeutic Recreational Activities, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP 2113432 Issued in FL

Legal business name

THERAPEUTIC RECREATIONAL ACTIVITIES, LLC

Practice address

221 N 46TH Ave
Hollywood, FL 33021-6603

Phone

(954) 873-0962

NPI assigned

Jul 23, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Falden

Title

Ambr

Phone

(954) 918-2164

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1760867410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12335 NW 51ST ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763446",
            "telephone_number": "954-918-2164",
            "fax_number": "954-369-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N 46TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216603",
            "telephone_number": "954-873-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC RECREATIONAL ACTIVITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "FALDEN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "954-918-2164",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 2113432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Therapy Dream Inc.
• Therapy Talk Corporation
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• Brittany Thigpen

• Adult Health Nurse Practitioner in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.