Provider Demographics
NPI:1962554279
Name:ESSENTIAL THERAPY INC
Entity type:Organization
Organization Name:ESSENTIAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NEREIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RITZ
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:954-381-5049
Mailing Address - Street 1:7730 NW 6TH CT
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-7058
Mailing Address - Country:US
Mailing Address - Phone:954-381-5049
Mailing Address - Fax:
Practice Address - Street 1:7730 NW 6TH CT
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-7058
Practice Address - Country:US
Practice Address - Phone:954-381-5049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT6983225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL891328500Medicaid