MEDICARE: ENABLE MY CHILD LTD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225XP0200X	Pediatric Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	2251P0200X	Pediatric Physical Therapist
4	104100000X	Social Worker
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
6	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1073054961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENABLE MY CHILD LTD.

Provider Business Mailing Address
First Line	:	26 HILL ST # 115
Second Line	:
City	:	SOUTHAMPTON
State	:	NY
Zip	:	11968-5317
Country	:	US
Telephone Number	:	888-511-7930
Fax Number	:

Provider Business Practice Location Address
First Line	:	22411 N OAK STREET SUITE 301L
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-3165
Country	:	US
Telephone Number	:	888-511-7930
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SYED MOHAMMED
Credential	:
Telephone Number	:	917-407-6499

Provider Enumeration Date	:	03/13/2017
Last Update Date	:	09/12/2025

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