MEDICARE: INNOVATIVE THERAPY SERVICES

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	103K00000X	Behavior Analyst
2	235Z00000X	Speech-Language Pathologist	SA 9460	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	:	1689085300
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNOVATIVE THERAPY SERVICES

Provider Business Mailing Address
First Line	:	1 FINANCIAL PLZ FL 10
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33394-0002
Country	:	US
Telephone Number	:	754-234-6577
Fax Number	:	954-320-6289

Provider Business Practice Location Address
First Line	:	1 FINANCIAL PLZ FL 10
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33394-0002
Country	:	US
Telephone Number	:	754-234-6577
Fax Number	:	954-320-6289

Authorized Official
Title or Position	:	MANAGER
Name	:	JULIET STRACHAN
Credential	:
Telephone Number	:	954-417-3792

Provider Enumeration Date	:	05/15/2014
Last Update Date	:	12/09/2025

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Directions to “INNOVATIVE THERAPY SERVICES ” Practice Location

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