MEDICARE: WAVES THERAPY CORP

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1780547679
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAVES THERAPY CORP

Provider Business Mailing Address
First Line	:	3510 NW 26TH AVE
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33434-3424
Country	:	US
Telephone Number	:	561-306-5152
Fax Number	:	561-437-8188

Provider Business Practice Location Address
First Line	:	5550 GLADES RD STE 305-20
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33431-7205
Country	:	US
Telephone Number	:	561-299-1236
Fax Number	:	561-437-8188

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DANIELLE BARONE
Credential	:	LCSW
Telephone Number	:	561-306-5152

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “WAVES THERAPY CORP ” Practice Location

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