MEDICARE: SUNSHINE KIDS THERAPY LLC

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	225XP0200X	Pediatric Occupational Therapist

General Provider Information

NPI Number	:	1932040672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE KIDS THERAPY LLC

Provider Business Mailing Address
First Line	:	2023 GREENWOOD DR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303-4827
Country	:	US
Telephone Number	:	772-494-3652
Fax Number	:

Provider Business Practice Location Address
First Line	:	2023 GREENWOOD DR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303-4827
Country	:	US
Telephone Number	:	772-494-3652
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OCCUPATIONAL THERAPIST
Name	:	DANIELLA HOPE ITZHAK
Credential	:	OTR/L
Telephone Number	:	772-494-3652

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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