Organization Active NPI

Therapy by Design, Inc

  • Rehabilitation Clinic/Center
  • Hialeah, FL
National Provider Identifier
1679550594
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
HCCR2988 Issued in FL
Legal business name
THERAPY BY DESIGN, INC
Practice address
17670 NW 78TH Ave
Suite 113
Hialeah, FL 33015-3664
Phone
(305) 512-5757
Fax
(305) 512-5755
NPI assigned
Dec 30, 2005
Last updated
Sep 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Mr. Mildreys Martinez, OTNPI 1457442212
Title
Administrator, Occupational Therapi
Phone
(305) 512-5757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X HCCR2988 FL Primary

Addresses

Primary practice location

17670 NW 78TH Ave
Suite 113
Hialeah, FL 33015-3664

Mailing address

17670 NW 78TH Ave
Suite 113
Hialeah, FL 33015-3664
Phone (305) 512-5757

National Provider Directory

National Provider Directory

Locations

17670 NW 78th Ave
Ste 113
Miami Gardens, FL 33015
Phone (305) 512-5757

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1679550594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17670 NW 78TH AVE",
            "address_2": "SUITE 113",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153664",
            "telephone_number": "305-512-5757",
            "fax_number": "305-512-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17670 NW 78TH AVE",
            "address_2": "SUITE 113",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153664",
            "telephone_number": "305-512-5757",
            "fax_number": "305-512-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY BY DESIGN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MILDREYS",
        "authorized_official_title_or_position": "ADMINISTRATOR, OCCUPATIONAL THERAPI",
        "authorized_official_telephone_number": "305-512-5757",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "HCCR2988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.