Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Childhood Early Intervention, LLC

Organization Physical Therapist · NPI 1336203843

Childhood Early Intervention, LLC is a Physical Therapist in Fayetteville, Pennsylvania. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6743 Fairway Dr E
Fayetteville, PA 17222-9400
Phone: (717) 360-3989
Fax: (717) 352-8360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Physical Therapist Taxonomy 225100000X
Pediatric Physical Therapist Taxonomy 2251P0200X
Pediatric Occupational Therapist Taxonomy 225XP0200X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1336203843
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Audrey List — Chief Executive Officer · (717) 360-3989
NPI enumeratedDecember 20, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address6743 Fairway Dr E, Fayetteville, PA 17222-9400

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