MEDICARE: THERAPY GARDEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	261QA3000X	Augmentative Communication Clinic/Center
3	261QD1600X	Developmental Disabilities Clinic/Center
4	320700000X	Physical Disabilities Residential Treatment Facility
5	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
6	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1376240614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY GARDEN

Provider Business Mailing Address
First Line	:	1 BETHANY RD STE 15
Second Line	:
City	:	HAZLET
State	:	NJ
Zip	:	07730-1659
Country	:	US
Telephone Number	:	732-778-1311
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 BETHANY RD STE 15
Second Line	:
City	:	HAZLET
State	:	NJ
Zip	:	07730-1659
Country	:	US
Telephone Number	:	732-778-1311
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	LUISA RINAUDO
Credential	:	M.S., CCC-SLP
Telephone Number	:	732-778-1311

Provider Enumeration Date	:	02/07/2023
Last Update Date	:	03/13/2024

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Directions to “THERAPY GARDEN ” Practice Location

Language	Start Address	Practice Location

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