Organization Active NPI

Side by Side Therapy Services

  • Occupational Therapist
  • Hallandale Beach, FL
National Provider Identifier
1760880207
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 14051 Issued in FL
Legal business name
SIDE BY SIDE THERAPY SERVICES
Practice address
1117 E Hallandale Beach Blvd
Suite # 3
Hallandale Beach, FL 33009-4488
Phone
(954) 458-5040
Fax
(954) 455-4421
NPI assigned
Dec 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Raquel Fisboin, MS, OTR/L
Title
Occupational Therapist, Director
Phone
(954) 458-5040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT 14051 FL Primary

Addresses

Primary practice location

1117 E Hallandale Beach Blvd
Suite # 3
Hallandale Beach, FL 33009-4488

Mailing address

1117 E Hallandale Beach Blvd
Suite # 3
Hallandale Beach, FL 33009-4488
Phone (954) 458-5040

Other identifiers 1

IdentifierTypeStateIssuer
002792000MedicaidFL

Other names 1

  • Dynakidz Doing business as

National Provider Directory

National Provider Directory

Locations

1117 E Hallandale Beach Blvd
Ste 3
Hallandale Beach, FL 33009
Phone (954) 458-5040

1117 E Hallandale Beach Blvd
Ste 6
Hallandale Beach, FL 33009
Phone (954) 454-5674

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": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1760880207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE # 3",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094488",
            "telephone_number": "954-458-5040",
            "fax_number": "954-455-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE # 3",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094488",
            "telephone_number": "954-458-5040",
            "fax_number": "954-455-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDE BY SIDE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "FISBOIN",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST, DIRECTOR",
        "authorized_official_telephone_number": "954-458-5040",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 14051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002792000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynakidz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.