MEDICARE: STEP UP CHILDREN'S THERAPY CENTER

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	106E00000X	Assistant Behavior Analyst
3	225X00000X	Occupational Therapist
4	261Q00000X	Clinic/Center
5	103K00000X	Behavior Analyst
6	225100000X	Physical Therapist
7	222Q00000X	Developmental Therapist
8	103T00000X	Psychologist

General Provider Information

NPI Number	:	1467349811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEP UP CHILDREN'S THERAPY CENTER

Provider Business Mailing Address
First Line	:	15381 SANDFIELD LOOP
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-9807
Country	:	US
Telephone Number	:	516-784-7255
Fax Number	:

Provider Business Practice Location Address
First Line	:	14393 BRIDGEWATER CROSSINGS BLVD STE 130
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-3259
Country	:	US
Telephone Number	:	516-784-7255
Fax Number	:

Authorized Official
Title or Position	:	CEO/CO-OWNER
Name	:	FABIANA CRISTINA MELLO REIS
Credential	:
Telephone Number	:	516-784-7255

Provider Enumeration Date	:	06/19/2025
Last Update Date	:	01/06/2026

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Directions to “STEP UP CHILDREN'S THERAPY CENTER ” Practice Location

Language	Start Address	Practice Location

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