Organization Active NPI

Success for Kids LLC

  • Occupational Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1952790289
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT11518 Issued in FL
Legal business name
SUCCESS FOR KIDS LLC
Practice address
1636 NW 5TH Ave
Fort Lauderdale, FL 33311-5508
Phone
(954) 865-3705
Fax
(954) 337-0141
NPI assigned
Jan 9, 2015
Last updated
Sep 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Ms. Anita M David, OTRNPI 1891891297
Title
Occupational Therapist/ Owner
Phone
(954) 865-3705

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT11518 FL Primary
Early Intervention Provider Agency 252Y00000X OT11518 FL

Addresses

Primary practice location

1636 NW 5TH Ave
Fort Lauderdale, FL 33311-5508

Mailing address

1636 NW 5TH Ave
Fort Lauderdale, FL 33311-5508
Phone (954) 865-3705

Other identifiers 2

IdentifierTypeStateIssuer
891985200MedicaidFL
010042600MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1952790289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 NW 5TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333115508",
            "telephone_number": "954-865-3705",
            "fax_number": "954-337-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 NW 5TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333115508",
            "telephone_number": "954-865-3705",
            "fax_number": "954-337-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS FOR KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "954-865-3705",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT11518",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "OT11518",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891985200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010042600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.