Doral Therapy Clinic, Corp

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DORAL THERAPY CLINIC, CORP

Practice address

2614 NW 97TH Ave
Doral, FL 33172-1413

Phone

(786) 486-0285

NPI assigned

Aug 2, 2018

Last updated

Aug 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristel Marianne Berdugo, OTRNPI 1851621825

Title

Occupational Therapist

Phone

(786) 486-0285

Specialties & licenses 6

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristel Marianne Berdugo, O.T.R

  • Occupational Therapist
  • Miami, FL
  • NPI 1851621825
  Authorized official Same address or phone

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1497233357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 NW 97TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721413",
            "telephone_number": "786-486-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 NW 97TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721413",
            "telephone_number": "786-486-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAL THERAPY CLINIC, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "BERDUGO",
        "authorized_official_first_name": "KRISTEL",
        "authorized_official_middle_name": "MARIANNE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "786-486-0285",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doral Relief Medical Center
• Doral Spine & Wellness Inc
• Doral Spine & Wellness, Inc.
• Doral Surgical Services
• Doral Therapy Center, Corp
• Doral Therapy Servces Inc
• Max Dorcius
• Maritza L Doria Segura
• Dorsal Medical Professionals LLC
• Dayana Dorta, L.M.T

• Physical Therapist in Doral, FL
• Providers in Doral, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.