OrganizationActive
Therapy By Design
NPI 1154413656 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · North Lauderdale, FL
Provider details
- NPI number
- 1154413656
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Randi Adler, Coota/L(754) 234-7652
- License
- 10304 (FL)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 10304 (FL)
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1709 Belmont Ln
North Lauderdale, FL 33068-4285
Phone: (954) 720-5560
Street-level locationGet directions
Mailing address
1709 Belmont Ln
North Lauderdale, FL 33068-4285
Registry dates
- Enumerated
- 2006-09-29
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.