MEDICARE: STEPS AHEAD OCCUPATIONAL THERAPY LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist

General Provider Information

NPI Number	:	1407573397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPS AHEAD OCCUPATIONAL THERAPY LLC

Provider Business Mailing Address
First Line	:	5206 COVESOUND WAY
Second Line	:
City	:	APOLLO BEACH
State	:	FL
Zip	:	33572-3328
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5206 COVESOUND WAY
Second Line	:
City	:	APOLLO BEACH
State	:	FL
Zip	:	33572-3328
Country	:	US
Telephone Number	:	813-502-1794
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MICHELLE KERBY
Credential	:
Telephone Number	:	973-747-2156

Provider Enumeration Date	:	10/21/2022
Last Update Date	:	12/08/2022

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