Healthcare Provider Details

I. General information

NPI: 1396429593
Provider Name (Legal Business Name): STEPPING STONES PEDIATRIC THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2023
Last Update Date: 07/05/2023
Certification Date: 07/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15011 W 68TH PL
ARVADA CO
80007-7151
US

IV. Provider business mailing address

15011 W 68TH PL
ARVADA CO
80007-7151
US

V. Phone/Fax

Practice location:
  • Phone: 317-201-6004
  • Fax:
Mailing address:
  • Phone: 317-201-6004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: AMY FLORA
Title or Position: OCCUPATIONAL THERAPIST
Credential: MS, OTR/L
Phone: 317-201-6004