MEDICARE: THUNDER MINDS INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	235Z00000X	Speech-Language Pathologist
3	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1811862030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THUNDER MINDS INC

Provider Business Mailing Address
First Line	:	13180 N CLEVELAND AVE STE 313
Second Line	:
City	:	NORTH FORT MYERS
State	:	FL
Zip	:	33903-6231
Country	:	US
Telephone Number	:	239-895-5014
Fax Number	:	239-673-1741

Provider Business Practice Location Address
First Line	:	13180 N CLEVELAND AVE STE 313
Second Line	:
City	:	NORTH FORT MYERS
State	:	FL
Zip	:	33903-6231
Country	:	US
Telephone Number	:	239-895-5014
Fax Number	:	239-673-1741

Authorized Official
Title or Position	:	OWNER
Name	:	JUDITH FERNANDEZ
Credential	:	BCBA
Telephone Number	:	239-895-5014

Provider Enumeration Date	:	10/07/2025
Last Update Date	:	10/07/2025

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Directions to “THUNDER MINDS INC ” Practice Location

Language	Start Address	Practice Location

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