NPIMap

Organization Active NPI

First Step Therapy, LLC

  • Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1831420033
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FIRST STEP THERAPY, LLC
Practice address
1200 N Central Ave
Kissimmee, FL 34741-4450
Phone
(407) 530-5063
Fax
(877) 399-5578
NPI assigned
Jan 27, 2010
Last updated
Jul 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Federico Nicholas
Title
Coo
Phone
(407) 530-5063

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Pediatric Rehabilitation Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P0010X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Community/Behavioral Health Agency 251S00000X
Early Intervention Provider Agency 252Y00000X PT22445 FL
Clinic/Center 261Q00000X Primary
Multi-Specialty Clinic/Center 261QM1300X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X FL

Addresses

Primary practice location

1200 N Central Ave
Kissimmee, FL 34741-4450

Mailing address

1650 Sand Lake Rd Ste 230
Orlando, FL 32809-9138
Phone (407) 530-5063

Other practice location 1

606 S 9th St
Leesburg, FL 34748-6320
Phone (407) 530-5063

Other practice location 2

900 Orchid Springs Dr
Winter Haven, FL 33884-3656
Phone (407) 530-5063

Other practice location 3

9367 Trevarthon Rd
Orlando, FL 32817-2609
Phone (407) 530-5063

Other practice location 4

2639 W State Road 434
Longwood, FL 32779-4878
Phone (407) 530-5063

Other practice location 5

2667 Enterprise Rd
Orange City, FL 32763-8217
Phone (407) 530-5063

Other practice location 6

400 N Lake Howard Drive
Winter Haven, FL 33881
Phone (407) 530-5063

Other practice location 7

520 S Florida Ave
Lakeland, FL 33801-5229
Phone (407) 530-5063

Other practice location 8

437 W Ardice Ave
Suite 481
Eustis, FL 32726
Phone (497) 530-5063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221109000932 FL Part B Supplier - Clinic/Group Practice 6204203946 Receives reassigned benefits from 3 practitioners
Practice locations: Kissimmee, FL

National Provider Directory

National Provider Directory
Tax ID family
First Step Therapy LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

437 W Ardice Ave
Eustis, FL 32726
Phone (352) 505-4754

1200 N Central Ave
Ste 106510
Kissimmee, FL 34741

1200 N Central Ave
Ste 110510
Kissimmee, FL 34741

1200 N Central Ave
Ste 112
Kissimmee, FL 34741
Phone (407) 931-0051

2639 W State Road 434
Longwood, FL 32779
Phone (321) 972-8326

1650 Sand Lake Rd
Ste 230
Orlando, FL 32809

1650 Sand Lake Rd
Ste 395
Orlando, FL 32809
Phone (407) 201-6078

1750 N 50th St
Ste B
Tampa, FL 33619

900 Orchid Springs Dr
Ste 103
Winter Haven, FL 33884
Phone (863) 268-2608

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1831420033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SAND LAKE RD STE 230",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328099138",
            "telephone_number": "407-530-5063",
            "fax_number": "877-399-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414450",
            "telephone_number": "407-530-5063",
            "fax_number": "877-399-5578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 S 9th St",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347486320",
            "country_code": "US",
            "telephone_number": "407-530-5063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Orchid Springs Dr",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338843656",
            "country_code": "US",
            "telephone_number": "407-530-5063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9367 Trevarthon Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328172609",
            "country_code": "US",
            "telephone_number": "407-530-5063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2639 W State Road 434",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327794878",
            "country_code": "US",
            "telephone_number": "407-530-5063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2667 Enterprise Rd",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327638217",
            "country_code": "US",
            "telephone_number": "407-530-5063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N LAKE HOWARD DRIVE",
            "address_purpose": "LOCATION",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33881",
            "country_code": "US",
            "telephone_number": "407-530-5063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 S Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338015229",
            "country_code": "US",
            "telephone_number": "407-530-5063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "437 W ARDICE AVE",
            "address_2": "SUITE 481",
            "address_purpose": "LOCATION",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "32726",
            "country_code": "US",
            "telephone_number": "497-530-5063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRST STEP THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "407-530-5063"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "PT22445",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.