Provider Demographics
NPI:1154413656
Name:THERAPY BY DESIGN
Entity type:Organization
Organization Name:THERAPY BY DESIGN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COOTA/L
Authorized Official - Prefix:
Authorized Official - First Name:RANDI
Authorized Official - Middle Name:F
Authorized Official - Last Name:ADLER
Authorized Official - Suffix:
Authorized Official - Credentials:OTA/L
Authorized Official - Phone:754-234-7652
Mailing Address - Street 1:1709 BELMONT LN
Mailing Address - Street 2:
Mailing Address - City:NORTH LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-4285
Mailing Address - Country:US
Mailing Address - Phone:954-720-5560
Mailing Address - Fax:
Practice Address - Street 1:1709 BELMONT LN
Practice Address - Street 2:
Practice Address - City:NORTH LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33068-4285
Practice Address - Country:US
Practice Address - Phone:954-720-5560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10304320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities