Active NPI
Side by Side Therapy Services
- Occupational Therapist
- Hallandale Beach, FL
National Provider Identifier
1760880207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 14051
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002792000 | Medicaid | FL |
Other names 1
- Dynakidz
National Provider Directory
National Provider DirectoryLocations
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.
-
- Speech-Language Pathologist
- Hallandale Beach, FL
- NPI 1326697178
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.