Supreme Therapy, Llc in Lake Mary - Occupational Therapist
Supreme Therapy, Llc - NPI 1225143647
Supreme Therapy, Llc is a Occupational Therapist in Lake Mary, Florida. Supreme Therapy, Llc practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Supreme Therapy, Llc is 1225143647. The last update date is 2020-08-22.
Supreme Therapy, Llc's current location address is 770 Keeneland Pike, Lake Mary, Florida. You can contact this provider via phone number 4073218833 and fax number 4073229966. The mailing address for Supreme Therapy, Llc is 770 Keeneland Pike, Lake Mary, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Supreme Therapy, Llc |
|---|---|
| Address | 770 Keeneland Pike, Lake Mary, Florida |
| Phone Number | 4073218833 |
| Fax Number | 4073229966 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING M |
|---|---|
| Authorized Official Name | Claessens Maria Joannes |
| Credentials | P.T. |
| Telephone Number | 4073218833 |
NPI Number Detail
| NPI Number | 1225143647 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 770 Keeneland Pike |
|---|---|
| City | Lake Mary |
| State | Florida (FL) |
| Post Code | 327463951 |
| Phone Number | 4073218833 |
| Fax Number | 4073229966 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT215 |
|
Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Y066A | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Supreme Therapy, Llc by the Centers for Medicare & Medicaid Services?
The Supreme Therapy, Llc has been issued the NPI (National Provider Identifier) 1225143647 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Supreme Therapy, Llc is physically located?
The Supreme Therapy, Llc is physically situated at the following address: 770 Keeneland Pike, Lake Mary, FL, 327463951.
What is the Supreme Therapy, Llc's specialty and taxonomy code?
The Supreme Therapy, Llc's specialty is Occupational Therapist, and the corresponding taxonomy code is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225143647 to Supreme Therapy, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1225143647 to Supreme Therapy, Llc on 2006-08-19.
When was the information pertaining to Supreme Therapy, Llc most recently updated or revised?
The details related to Supreme Therapy, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.