Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
THERAWIDE, LLC
Active
Organization
THERAWIDE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON HIGHTOWER (CEO/DIRECTOR OF OPERATIONS)
(310) 307-9114
Entity
Organization
Contact information
Practice address
591 COLLINS DR APT 6, MERCED, CA 95348-3178
(310) 307-9114
Mailing address
591 COLLINS DR APT 6, MERCED, CA 95348-3178
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up