Healthcare Provider Details

I. General information

NPI: 1841569779
Provider Name (Legal Business Name): NEXT STEP THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2011
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3533 CAROLWOOD LN
SAINT AUGUSTINE FL
32086-4320
US

IV. Provider business mailing address

365 SUMMERCOVE CIR
SAINT AUGUSTINE FL
32086-5951
US

V. Phone/Fax

Practice location:
  • Phone: 904-315-8525
  • Fax:
Mailing address:
  • Phone: 904-315-8525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License NumberPT20341
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT20341
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. VICKY CARREGAL
Title or Position: OWNER
Credential:
Phone: 904-315-8525