MEDICARE: FOUNDATIONS THERAPY, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QH0700X	Hearing and Speech Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	252Y00000X	Early Intervention Provider Agency

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	:	1639219389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOUNDATIONS THERAPY, INC.

Provider Business Mailing Address
First Line	:	8130 ROYAL PALM BLVD STE 105
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-5703
Country	:	US
Telephone Number	:	954-344-6550
Fax Number	:	954-344-8634

Provider Business Practice Location Address
First Line	:	8130 ROYAL PALM BLVD STE 105
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-5703
Country	:	US
Telephone Number	:	954-344-6550
Fax Number	:	954-344-8634

Authorized Official
Title or Position	:	B.C.B.A.
Name	:	IVY KAPLAN
Credential	:
Telephone Number	:	954-344-6550

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	06/14/2023

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Directions to “FOUNDATIONS THERAPY, INC. ” Practice Location

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