ADVANCED CHILDRENS THERAPY INC NPI 1356998637

NPI Information

NPI: 1356998637
Provider Name: ADVANCED CHILDRENS THERAPY INC

Doing Business As: ADVANCED CHILDRENS THERAPY

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2119 10TH AVE N
LAKE WORTH BEACH, FL
ZIP 33461
Phone: (561) 629-6882
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ADVANCED CHILDRENS THERAPY INC is a multi-specialty clinic center in Lake Worth Beach, FL. ADVANCED CHILDRENS THERAPY INC NPI is 1356998637. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Childrens Therapy.

The provider's business location address is:

2119 10TH AVE N
LAKE WORTH BEACH, FL
ZIP 33461-345
Phone: (561) 629-6882
Fax: (561) 828-3102

The provider's authorized official is Marlye Gonzalez Alfonso .
The authorized official title is Administrator and has the following contact phone number (561) 260-1316.

The enumeration date for this NPI number is 8/21/2019 and was last updated on 2/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	208000000X	Pediatrics		No
2	252Y00000X	Early Intervention Provider Agency		No
3	261Q00000X	Clinic/Center		No
4	261QD1600X	Clinic/Center	Developmental Disabilities	No
5	261QM1300X	Clinic/Center	Multi-Specialty	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	025094700	MEDICAID	FLORIDA
2	105119800	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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