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Contact Information

BEACON PEDIATRIC THERAPY SERVICES LLC
2 HOLLYWOOD BLVD N STE 8
FORKED RIVER, NJ08731-4842
 Phone: 609-200-1118
 Fax: 866-368-4449
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Feeding, Eating & Swallowing

225XF0002X 67 Occupational Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for BEACON PEDIATRIC THERAPY SERVICES LLC

NPI # 1043952146
LBN Legal business name BEACON PEDIATRIC THERAPY SERVICES LLC
Authorized official SARA WILBERT - (OCCUPATIONAL THERAPIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/09/2022
Last updated 09/28/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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