Healthcare Provider Details

I. General information

NPI: 1992248801
Provider Name (Legal Business Name): LITTLE CHAMPIONS THERAPY AND SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2016
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 N EUSTIS STREET
EUSTIS FL
32726-3408
US

IV. Provider business mailing address

10879 LANTANA CRST
CLERMONT FL
34711-8990
US

V. Phone/Fax

Practice location:
  • Phone: 321-436-9792
  • Fax: 888-719-7820
Mailing address:
  • Phone: 813-825-1836
  • Fax: 888-719-7820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANNMARIE BENTLEY
Title or Position: OFFICE MANAGER
Credential:
Phone: 813-825-1836