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NPI Code Detail

MEDICARE: STEP UP CHILDREN'S THERAPY CENTER

MEDICARE: STEP UP CHILDREN'S THERAPY CENTER
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1407713050
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEP UP CHILDREN'S THERAPY CENTER
Provider Business Mailing Address
First Line : 14393 BRIDGEWATER CROSSINGS BLVD STE 130
Second Line :
City : WINDERMERE
State : FL
Zip : 34786-3259
Country : US
Telephone Number : 407-784-6939
Fax Number :
Provider Business Practice Location Address
First Line : 14393 BRIDGEWATER CROSSINGS BLVD STE 130
Second Line :
City : WINDERMERE
State : FL
Zip : 34786-3259
Country : US
Telephone Number : 407-784-6939
Fax Number :
Authorized Official
Title or Position : CEO
Name : MRS. FABIANA C REIS
Credential :
Telephone Number : 516-784-7255
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “STEP UP CHILDREN'S THERAPY CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.