Provider Demographics
| NPI: | 1982352092 |
|---|---|
| Name: | TOBY AND LEON COOPERMAN THERAPY AND FAMILY RESOURCE CENTER |
| Entity type: | Organization |
| Organization Name: | TOBY AND LEON COOPERMAN THERAPY AND FAMILY RESOURCE CENTER |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | DANIELLE |
| Authorized Official - Middle Name: | N |
| Authorized Official - Last Name: | HARTMAN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 561-852-3333 |
| Mailing Address - Street 1: | 21300 RUTH AND BARON COLEMAN BLVD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | BOCA RATON |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33428-1757 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 561-852-3333 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 21100 RUTH AND BARON COLEMAN BLVD |
| Practice Address - Street 2: | |
| Practice Address - City: | BOCA RATON |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33428-1714 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 561-852-5099 |
| Practice Address - Fax: | 561-852-3332 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2022-03-17 |
| Last Update Date: | 2025-09-30 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | Group - Single Specialty |
| No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
| No | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | Group - Multi-Specialty |
| No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Multi-Specialty | |
| No | 2355S0801X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant | Group - Multi-Specialty |
| No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
| No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
| No | 106S00000X | Behavioral Health & Social Service Providers | Behavior Technician | Group - Multi-Specialty | |
| Yes | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| Yes | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | Group - Single Specialty |