Healthcare Provider Details

I. General information

NPI: 1558084426
Provider Name (Legal Business Name): READY-GO-FUNCTIONAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2022
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BRICKELL AVE STE 715
MIAMI FL
33131-3047
US

IV. Provider business mailing address

1000 BRICKELL AVE STE 715
MIAMI FL
33131-3047
US

V. Phone/Fax

Practice location:
  • Phone: 305-518-1733
  • Fax: 305-786-2506
Mailing address:
  • Phone: 305-518-1733
  • Fax: 305-786-2506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICOYAH LATRICE CARLISLE
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 786-303-1733