Healthcare Provider Details

I. General information

NPI: 1467849638
Provider Name (Legal Business Name): LITTLE STEPS THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2015
Last Update Date: 04/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8050 NW 10TH ST UNIT# 5
MIAMI FL
33126-2865
US

IV. Provider business mailing address

8050 NW 10TH ST UNIT# 5
MIAMI FL
33126-2865
US

V. Phone/Fax

Practice location:
  • Phone: 305-979-1776
  • Fax:
Mailing address:
  • Phone: 305-979-1776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT21736
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ROSSNIEL MARINAS
Title or Position: PHYSICAL THERAPIST
Credential: MPT, DPT
Phone: 305-979-1776