Provider Demographics
| NPI: | 1750707642 |
|---|---|
| Name: | CHILDRENFIRST THERAPY SERVICES, INC. |
| Entity type: | Organization |
| Organization Name: | CHILDRENFIRST THERAPY SERVICES, INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CLINIC DIRECTOR |
| Authorized Official - Prefix: | MS |
| Authorized Official - First Name: | ANGELA |
| Authorized Official - Middle Name: | N |
| Authorized Official - Last Name: | HARRIS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | OTR/L, MOT, MED |
| Authorized Official - Phone: | 407-513-3077 |
| Mailing Address - Street 1: | 4448 EDGEWATER DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | ORLANDO |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 32804-1216 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 407-513-3000 |
| Mailing Address - Fax: | 407-515-6537 |
| Practice Address - Street 1: | 3064 LIONS CT |
| Practice Address - Street 2: | |
| Practice Address - City: | KISSIMMEE |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 34744-1539 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 407-513-3000 |
| Practice Address - Fax: | 407-515-6537 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2014-03-15 |
| Last Update Date: | 2016-12-21 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | Group - Multi-Specialty |
| No | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | Group - Multi-Specialty |
| No | 227800000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Group - Multi-Specialty | |
| No | 2278P3900X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Neonatal/Pediatrics | Group - Multi-Specialty |
| No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty |