Provider Demographics
NPI:1225331457
Name:CENTRAL FLORIDA THERAPY, INC.
Entity type:Organization
Organization Name:CENTRAL FLORIDA THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:MS CC ISLP
Authorized Official - Phone:407-878-7664
Mailing Address - Street 1:3440 SAINT JOHNS PKWY STE 1050
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-6763
Mailing Address - Country:US
Mailing Address - Phone:407-878-7664
Mailing Address - Fax:407-878-7665
Practice Address - Street 1:3440 SAINT JOHNS PKWY STE 1050
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-6763
Practice Address - Country:US
Practice Address - Phone:407-878-7664
Practice Address - Fax:407-878-7665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-09
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003689100Medicaid