Organization Active NPI

Sunshine State Therapy Group

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1053899278
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SUNSHINE STATE THERAPY GROUP
Practice address
15733 Fairway Heights Blvd
Miami, FL 33157-1425
Phone
(786) 237-5068
Fax
(305) 553-9975
NPI assigned
Jul 31, 2018
Last updated
Jul 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jorge Carlos Gutierrez
Title
President
Phone
(786) 237-5068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

15733 Fairway Heights Blvd
Miami, FL 33157-1425

Mailing address

15733 Fairway Heights Blvd
Miami, FL 33157-1425
Phone (786) 237-5068

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1053899278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15733 FAIRWAY HEIGHTS BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571425",
            "telephone_number": "786-237-5068",
            "fax_number": "305-553-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15733 FAIRWAY HEIGHTS BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571425",
            "telephone_number": "786-237-5068",
            "fax_number": "305-553-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE STATE THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-237-5068"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.