Healthcare Provider Details

I. General information

NPI: 1427241264
Provider Name (Legal Business Name): CHILDREN'S THERAPY NETWORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2007
Last Update Date: 09/22/2022
Certification Date: 09/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHILDREN'S THERAPY NETWORK, INC. 1857 KNOLL DRIVE
VENTURA CA
93003
US

IV. Provider business mailing address

CHILDREN'S THERAPY NETWORK, INC. 1827 KNOLL DR
VENTURA CA
93003-7321
US

V. Phone/Fax

Practice location:
  • Phone: 805-667-8200
  • Fax: 805-667-8201
Mailing address:
  • Phone: 805-667-8200
  • Fax: 805-667-8201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT 5465
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL
# 7
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: CASSANDRA COLLEEN WOODS
Title or Position: CEO
Credential:
Phone: 805-667-8200