NPIMap

Organization Active NPI

Breakthrough Thearpy Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Davie, FL
National Provider Identifier
1891955852
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
SA6787 Issued in FL
Legal business name
BREAKTHROUGH THEARPY SERVICES, INC.
Practice address
12545 Orange Dr
Suite 502
Davie, FL 33330-4306
Phone
(954) 474-8048
Fax
(954) 474-8145
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Ms. Kimberly Bloom, MS, CCC-SLPNPI 1770615080
Title
Director
Phone
(954) 474-8048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X SA6787 FL Primary

Addresses

Primary practice location

12545 Orange Dr
Suite 502
Davie, FL 33330-4306

Mailing address

12545 Orange Dr
Suite 502
Davie, FL 33330-4306
Phone (954) 474-8048

National Provider Directory

National Provider Directory

Locations

12545 Orange Dr
Ste 502
Davie, FL 33330
Phone (954) 236-9415

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1891955852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12545 ORANGE DR",
            "address_2": "SUITE 502",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304306",
            "telephone_number": "954-474-8048",
            "fax_number": "954-474-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12545 ORANGE DR",
            "address_2": "SUITE 502",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304306",
            "telephone_number": "954-474-8048",
            "fax_number": "954-474-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH THEARPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-474-8048",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "SA6787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.