MEDICARE: SENSORY THERAPEUTICS INC.

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	225X00000X	Occupational Therapist	OT8734	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568483345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENSORY THERAPEUTICS INC.

Provider Business Mailing Address
First Line	:	11988 SW CRESTWOOD CIR
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34987-2738
Country	:	US
Telephone Number	:	561-745-0028
Fax Number	:	561-745-0833

Provider Business Practice Location Address
First Line	:	11988 SW CRESTWOOD CIR
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34987-2738
Country	:	US
Telephone Number	:	561-745-0028
Fax Number	:	561-745-0833

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ROSE ANN CURBOY
Credential	:	MS, OTR/L
Telephone Number	:	561-745-0028

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	03/19/2024

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