THERAPY SOURCE LLC (NPI# 1245437359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245437359 |
| Entity Type | Organization |
| Organization Name | THERAPY SOURCE LLC |
| Practice Address |
3311 Beach Blvd Jacksonville FL 32207-3704 |
| Practice Telephone | 9043961462 |
| Practice Fax Number | 9043961199 |
| Mailing Telephone | 9043961462 |
| Mailing Fax Number | 9043961199 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-10-17 |
| Authorized Official Name | MS. HOLLY C PETERS (CEO) |
| Authorized Official Telephone | 9043961462 |
| Is Organization Subpart | Y |
| Parent Organization Name | CEREBRAL PALSY OF NORTHEAST FLORIDA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457834673 | Therapy Source LLC | Community/Behavioral Health | 858 2nd St Ne Ste 101, Hickory, NC 28601-3878 | 2018-09-13 |
| Street Address |
3311 BEACH BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033266168 | Beverly Yvette Harvey | Developmental Therapist | 3311 Beach Blvd, Jacksonville, FL 32207-3704 | 2007-01-03 |
| 1669955084 | Angela Macfarlane-wingert | Occupational Therapist | 3311 Beach Blvd, Jacksonville, FL 32207-3704 | 2018-09-11 |
| 1164916839 | Jacob Lucas Broadhurst | Physical Therapist | 3311 Beach Blvd, Jacksonville, FL 32207-3704 | 2018-06-18 |
| 1649620907 | Sasha Therlonge | Behavioral Analyst | 3311 Beach Blvd, Jacksonville, FL 32207-3704 | 2016-06-17 |
| 1942661525 | Lisa Marie Mcdonald Fortune | Physical Therapist | 3311 Beach Blvd, Jacksonville, FL 32207-3704 | 2016-03-10 |
| 1629469291 | Jayne De La Rosa | Developmental Therapist | 3311 Beach Blvd, Jacksonville, FL 32207-3704 | 2015-02-18 |
| 1932597960 | Courtney Harris | Developmental Therapist | 3311 Beach Blvd, Jacksonville, FL 32207-3704 | 2014-12-29 |
| 1013293026 | Wendy B Poxon | Developmental Therapist | 3311 Beach Blvd, Jacksonville, FL 32207-3704 | 2011-10-24 |
| 1376828152 | Shelley Christine Dahl | Speech-Language Pathologist | 3311 Beach Blvd, Jacksonville, FL 32207-3704 | 2011-10-12 |
| 1720370877 | Erika N Johnson | Developmental Therapist | 3311 Beach Blvd, Jacksonville, FL 32207-3704 | 2011-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789662 | Guidewell, Inc. | Early Intervention Provider Agency | 4855 Town Center Pkwy, Jacksonville, FL 32246-8437 | 2018-11-14 |
| 1639687916 | Rachael Renee Dean | Early Intervention Provider Agency | 1943 Baldwin Rd, Jacksonville, IL 62650-6041 | 2018-01-20 |
| 1902257785 | Northeast Florida Area Agency On Aging | Early Intervention Provider Agency | 10688 Old Saint Augustine Rd, Jacksonville, FL 32257-1004 | 2016-06-23 |
| 1619360344 | Kelly Wilkinson | Early Intervention Provider Agency | 8443 Baymeadows Rd Ste 1, Jacksonville, FL 32256-7440 | 2015-03-04 |
| 1528463072 | Episcopal Children's Services | Early Intervention Provider Agency | 8443 Baymeadows Rd, Suite 1, Jacksonville, FL 32256-7440 | 2014-10-27 |
| 1457649014 | Tina Marie Hickey | Early Intervention Provider Agency | 647 S Prairie St, Jacksonville, IL 62650-2870 | 2011-07-18 |
| 1235377888 | Aspirations | Early Intervention Provider Agency | 2444 Commerce Rd., Suite 232, Jacksonville, NC 28546 | 2009-02-04 |
| 1134321664 | Jharman Lightner | Early Intervention Provider Agency | 531 W Union St, Jacksonville, FL 32202-4047 | 2007-06-05 |
| 1447249784 | Small Talk Inc | Early Intervention Provider Agency | 8777 San Jose Blvd Ste 701, Jacksonville, FL 32217-4292 | 2005-10-19 |
| 1144717497 | Surrendering Minds LLC | Early Intervention Provider Agency | 11627 Hickory Oak Dr, Jacksonville, FL 32218-9078 | 2018-04-21 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.