KNEADED THERAPY, INC (NPI# 1063997260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063997260 |
| Entity Type | Organization |
| Organization Name | KNEADED THERAPY, INC |
| Practice Address |
2746 E Commerical Blvd. Ft. Lauderdale FL 33308 |
| Practice Telephone | 9547722977 |
| Practice Fax Number | 9547722928 |
| Mailing Telephone | 9547722977 |
| Mailing Fax Number | 9547722928 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Authorized Official Name | MRS. KRISTEN TRUJILLO (OWNER/LMT) |
| Authorized Official Telephone | 9547722977 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2746 E COMMERICAL BLVD. |
| City | FT. LAUDERDALE |
| State | FL |
| Zip Code | 33308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| 1265983498 | Bliss Recovery Center LLC | Substance Abuse Rehabilitation Facility | 3012 E Commercial Blvd Ste 2, Fort Lauderdale, FL 33308 | 2016-10-24 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 2081N0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Neuromuscular Medicine |
| A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736574 | St. John's Integrated Healthcare | Physical Medicine & Rehabilitation | 11363 San Jose Blvd Ste 102, Jacksonville, FL 32223-7958 | 2020-07-01 |
| 1942688767 | Physicians Services and Rehab Inc | Physical Medicine & Rehabilitation | 506 Se 47th Terr Suite B, Cape Coral, FL 33904 | 2015-05-13 |
| 1023457843 | Nicole Supreme Lewis | Physical Medicine & Rehabilitation | 214 Cresap St, Lakeland, FL 33815-4704 | 2013-06-15 |
| 1114267036 | Non Operative Spine & Neuromuscular Center Pa | Physical Medicine & Rehabilitation | 3785 Airport Pulling Rd N, Suite A, Naples, FL 34105-4518 | 2013-03-01 |
| 1871896167 | Mary Joyce Matthews | Physical Medicine & Rehabilitation | 6565 Sw 51st Ct, Ocala, FL 34474-5770 | 2010-12-08 |
| 1437322393 | Naples Physicians Surgical Group | Physical Medicine & Rehabilitation | 40 Se 5th St, Suite 406, Boca Raton, FL 33432-6003 | 2008-04-10 |
| 1255533618 | Functional Evaluation Testing of Florida, Inc | Physical Medicine & Rehabilitation | 5301 N Federal Hwy Ste 165, Boca Raton, FL 33487-4914 | 2007-06-05 |
| 1073536223 | Ulysses Findley | Physical Medicine & Rehabilitation | 1660 Blanding Blvd, Jacksonville, FL 32210-1835 | 2006-07-26 |
| 1487252235 | Joint Rejuvenation Center LLC | Physical Medicine & Rehabilitation | 15127 S Jog Rd Ste 210, Delray Beach, FL 33446-1251 | 2020-10-14 |
| 1427607134 | Samantha-june Gozo | Physical Medicine & Rehabilitation | 5165 Adanson St, Orlando, FL 32804-1331 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
| City | FT. LAUDERDALE |
| Zip Code | 33308 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.