Healthcare Provider Details

I. General information

NPI: 1932918877
Provider Name (Legal Business Name): LITTLE CHAMPS THERAPIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 S COLORADO BLVD PH NORTH
DENVER CO
80246-1904
US

IV. Provider business mailing address

1009 NW 42ND ST
MIAMI FL
33127-2752
US

V. Phone/Fax

Practice location:
  • Phone: 305-409-4636
  • Fax:
Mailing address:
  • Phone: 305-409-4636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: IVAN SALATI
Title or Position: OWNER
Credential:
Phone: 305-409-4636