Organization Active NPI

Therapy Alliance Inc.

  • Speech-Language Pathologist
  • Hollywood, FL
National Provider Identifier
1174762074
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA-8529 Issued in FL
Legal business name
THERAPY ALLIANCE INC.
Practice address
3670 N 54TH Ave
Hollywood, FL 33021-2340
Phone
(305) 362-3300
Fax
(754) 201-1390
NPI assigned
Feb 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Martin Nolasco
Title
Owner
Phone
(786) 262-4324

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X OT-12003 FL
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X SA-8529 FL Primary

Addresses

Primary practice location

3670 N 54TH Ave
Hollywood, FL 33021-2340

Mailing address

14040 NW 7TH Ave
Miami, FL 33168-6809
Phone (305) 362-3300

Other identifiers 2

IdentifierTypeStateIssuer
130975900MedicaidFL
000650300MedicaidFL

National Provider Directory

National Provider Directory

Locations

5979 NW 151st St
Ste 208
Miami Lakes, FL 33014
Phone (305) 362-3300

5979 NW 151st St
Miami Lakes, FL 33014
Phone (305) 362-0202

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1174762074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14040 NW 7TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331686809",
            "telephone_number": "305-362-3300",
            "fax_number": "754-201-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 N 54TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212340",
            "telephone_number": "305-362-3300",
            "fax_number": "754-201-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY ALLIANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "NOLASCO",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-262-4324"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT-12003",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA-8529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130975900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000650300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.