Healthcare Provider Details
I. General information
NPI: 1346317443
Provider Name (Legal Business Name): ARTIST OF THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1898 NW 57TH ST
MIAMI FL
33142-3056
US
IV. Provider business mailing address
1898 NW 57TH ST
MIAMI FL
33142-3056
US
V. Phone/Fax
- Phone: 786-897-4063
- Fax:
- Phone: 786-897-4063
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XP0200X |
| Taxonomy | Pediatric Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
KEVIN
JEVON
COVINGTON
Title or Position: OWNER
Credential: CCC-SLP
Phone: 786-897-4063