MEDICARE: THERAPEUTIC ENERGY DAY CARE CENTERS, 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	251B00000X	Case Management Agency
2	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1427912179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPEUTIC ENERGY DAY CARE CENTERS, LLC

Provider Business Mailing Address
First Line	:	10 WEDGEWOOD DR
Second Line	:
City	:	WESTBURY
State	:	NY
Zip	:	11590-2825
Country	:	US
Telephone Number	:	516-398-4339
Fax Number	:	516-500-2214

Provider Business Practice Location Address
First Line	:	10 WEDGEWOOD DR
Second Line	:
City	:	WESTBURY
State	:	NY
Zip	:	11590-2825
Country	:	US
Telephone Number	:	516-398-4339
Fax Number	:	516-500-2214

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. GAIL CAMPBELL
Credential	:	PT, MS
Telephone Number	:	516-398-4339

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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