Healthcare Provider Details

I. General information

NPI: 1023361987
Provider Name (Legal Business Name): THERHAPPY THERAPY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2012
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11820 DENTON AVENUE
HUDSON FL
34667-5419
US

IV. Provider business mailing address

7497 OAK TREE LN
SPRING HILL FL
34607-2324
US

V. Phone/Fax

Practice location:
  • Phone: 727-862-9101
  • Fax: 888-345-5315
Mailing address:
  • Phone: 727-688-7442
  • Fax: 888-345-5315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT13806
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT13621
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA6151
License Number StateFL

VIII. Authorized Official

Name: MRS. ANDREA SERINA CLARK
Title or Position: PRESIDENT
Credential: M.S. CCC/SLP
Phone: 727-688-7442