Active NPI
United Cerebral Palsy of Broward County
- Behavior Analyst
- Fort Lauderdale, FL
National Provider Identifier
1871801928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- UNITED CEREBRAL PALSY OF BROWARD COUNTY
- Practice address
- 3117 SW 13TH CT
Fort Lauderdale, FL 33312-2714 - Phone
- (954) 315-4041
- Fax
- (954) 315-4099
- NPI assigned
- Sep 22, 2010
- 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
- Tamika L Lewis, PH.D.
- Title
- Chief Operating Officer
- Phone
- (786) 251-8224
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
3117 SW 13TH CT
Fort Lauderdale, FL 33312-2714
Mailing address
2700 W 81St St
Hialeah, FL 33016-2732
Phone (305) 325-1080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019202200 | Medicaid | FL | |
| 880506700 | Medicaid | FL |
Other names 1
- United Community Options of Broward
National Provider Directory
National Provider Directory- Tax ID family
- United Cerebral Palsy of Broward County
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Contractor
- Ft Lauderdale, FL
- NPI 1710855622
-
- Physical Therapy Clinic/Center
- Lake Worth, FL
- NPI 1871076752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707177600000",
"number": "1871801928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 W 81ST ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330162732",
"telephone_number": "305-325-1080",
"fax_number": "305-325-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3117 SW 13TH CT",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333122714",
"telephone_number": "954-315-4041",
"fax_number": "954-315-4099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED CEREBRAL PALSY OF BROWARD COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-22",
"last_updated": "2024-02-06",
"certification_date": "2023-12-12",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "TAMIKA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "786-251-8224",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"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
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019202200",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "880506700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "United Community Options of Broward",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Lauderdale, FL
- Unilab of Dade Inc
- Unimed Services LLC
- Unimedrx LLC
- Unique Health Care Management, Inc.
- United Cerebral Palsy 0F Broward, Palm Beach and Mid-Coast Counties, Inc.
- United Medical LLC
- United Services of South Florida
- United States Chiropractic Center, Inc
- United States Medical Center, Inc
- Universal Care & Wellness LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.