Organization
ADULTS TO PEDIATRICS THERAPY LLC
Active
Other names
ATP
Organization subpart
No
Provider details
NPI number
Authorized official
AILEEN GRULLON-COLON MA, CCC-SLP (PRESIDENT/CLINICAL DIRECTOR)
(954) 756-2818
Entity
Organization
Contact information
Practice address
14201 W SUNRISE BLVD, SUITE 107, SUNRISE, FL 33323-3207
(954) 756-2818
(954) 514-1126
Mailing address
14201 W SUNRISE BLVD STE 107, SUNRISE, FL 33323-3207
(954) 756-2818
(954) 514-1126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
SA7777
FL
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000828300
—
FL
01
—
130202100
MEDICAID PROFESSIONAL EARLY INTERVENTION SERVICES
FL
Enumeration date
05/02/2009
Last updated
05/01/2026
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