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NPI Code Detail

MEDICARE: SMALL HANDS BIG HEARTS PEDIATRIC THERAPY MANAGEMENT INC

MEDICARE: SMALL HANDS BIG HEARTS PEDIATRIC THERAPY MANAGEMENT INC
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
1225XP0200XPediatric Occupational Therapist
2235Z00000XSpeech-Language Pathologist
32251P0200XPediatric Physical Therapist

General Provider Information

NPI Number : 1871441295
Entity Type Code : Organization
Provider Name (Legal Business Name) : SMALL HANDS BIG HEARTS PEDIATRIC THERAPY MANAGEMENT INC
Provider Business Mailing Address
First Line : 4775 NORTH FWY STE 102
Second Line :
City : FORT WORTH
State : TX
Zip : 76106-2300
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4775 NORTH FWY STE 102
Second Line :
City : FORT WORTH
State : TX
Zip : 76106-2300
Country : US
Telephone Number : 817-740-8700
Fax Number :
Authorized Official
Title or Position : CFO
Name : DERRICK YACOVELLI
Credential :
Telephone Number : 610-260-4601
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “SMALL HANDS BIG HEARTS PEDIATRIC THERAPY MANAGEMENT INC ” 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.

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