Healthcare Provider Details

I. General information

NPI: 1982827960
Provider Name (Legal Business Name): CHILDRENS THERAPY ASSOCIATES LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 STRATHMORE RD
NATICK MA
01760
US

IV. Provider business mailing address

17 STRATHMORE RD
NATICK MA
01760
US

V. Phone/Fax

Practice location:
  • Phone: 508-650-0457
  • Fax: 508-650-3872
Mailing address:
  • Phone: 508-650-0457
  • Fax: 508-650-3872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ELLEN M GELLINEAU
Title or Position: GENERAL PARTNER
Credential: MS CCC SLP
Phone: 508-650-0457