Healthcare Provider Details

I. General information

NPI: 1871206045
Provider Name (Legal Business Name): APOLLO BEACH THERAPY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2023
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6520 RICHIES WAY
APOLLO BEACH FL
33572-2125
US

IV. Provider business mailing address

6520 RICHIES WAY
APOLLO BEACH FL
33572-2125
US

V. Phone/Fax

Practice location:
  • Phone: 813-944-7441
  • Fax:
Mailing address:
  • Phone: 813-641-1922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. LOVELY NOELL SULTENFUSS
Title or Position: MEDICAL DIRECTOR
Credential: OTD OTR/L
Phone: 813-944-7441