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General NPI Number Information
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NPI Number | 1609810456
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Entity Type | Organization
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Legal Business Name | CENTRAL FLORIDA THERAPY SOLUTIONS, INC
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | 455 W WARREN AVE SUITE 200
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City | LONGWOOD
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State | FL
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Zip | 32750-4002
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Country | US
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Telephone | 407-260-0551
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Fax | 407-265-9590
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Provider Business Mailing Address
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Address Line | 455 W WARREN AVE SUITE 200
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City | LONGWOOD
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State | FL
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Zip | 32750-4002
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Country | US
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Telephone | 407-260-0551
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Fax | 407-265-9590
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NANCY CLAUDIA JOHNSTON
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Credential | MS, CCC-SLP
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Telephone | 407-260-0551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT 3886
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT 11334
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA5296
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License Number State | FL
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