MEDICARE: ALT THERAPY LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1265377659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALT THERAPY LLC

Provider Business Mailing Address
First Line	:	4009 N CYPRESS DR APT 205
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-4154
Country	:	US
Telephone Number	:	561-877-1381
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 E CYPRESS CREEK RD # 2406
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33334-3560
Country	:	US
Telephone Number	:	561-877-1381
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE OWNER
Name	:	MR. RYAN TOCARCHICK
Credential	:	LMHC
Telephone Number	:	561-877-1381

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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Directions to “ALT THERAPY LLC ” Practice Location

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