Childhood Early Intervention, Llc is a
Occupational Therapist based in Fayetteville, Pennsylvania. Childhood Early Intervention, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
6743 Fairway Dr E, Fayetteville, Pennsylvania. It can be reached at their office (for appointments etc.) via phone at
(717) 360-3989.
NPI number for Childhood Early Intervention, Llc is 1336203843 and their current mailing address is 6743 Fairway Dr E, Fayetteville, Pennsylvania. Childhood Early Intervention, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1336203843.
Healthcare Provider's Profile
| Full Name | Childhood Early Intervention, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Occupational Therapist |
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| Location | 6743 Fairway Dr E, Fayetteville, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336203843
- Provider Enumeration Date: 12/20/2006
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Childhood Early Intervention, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336203843 | NPI | - | NPPES |
| 1016437230001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Childhood Early Intervention, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Childhood Early Intervention, Llc
6743 Fairway Dr E,
Fayetteville, PA 17222-9400
Ph: (717) 360-3989 | Childhood Early Intervention, Llc
6743 Fairway Dr E,
Fayetteville, PA 17222-9400
Ph: (717) 360-3989 |
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