NPIMap

Organization Active NPI

My Therapy Center, Inc.

  • Speech-Language Pathologist
  • Virginia Gardens, FL
National Provider Identifier
1710259890
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MY THERAPY CENTER, INC.
Doing business as
My Therapy Center, Inc.
Practice address
6405 NW 36TH St Ste 105
Virginia Gardens, FL 33166-6977
Phone
(305) 526-2426
Fax
(305) 526-1182
NPI assigned
Feb 3, 2012
Last updated
Apr 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Rebeca Ruiz, M.S., CCC-SLP
Title
Director
Phone
(305) 526-2426

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X NU
Speech-Language Assistant 2355S0801X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

6405 NW 36TH St Ste 105
Virginia Gardens, FL 33166-6977

Mailing address

6405 NW 36TH St Ste 105
Virginia Gardens, FL 33166-6977
Phone (305) 526-2426

Other identifiers 1

IdentifierTypeStateIssuer
000981401MedicaidFL

Other names 1

  • My Therapy Center, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
My Therapy Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6405 NW 36th St
Ste 105
Virginia Gardens, FL 33166
Phone (305) 526-2426

Practitioners & affiliated clinicians

Practitioners 12

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": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1710259890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 NW 36TH ST STE 105",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666977",
            "telephone_number": "305-526-2426",
            "fax_number": "305-526-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 NW 36TH ST STE 105",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666977",
            "telephone_number": "305-526-2426",
            "fax_number": "305-526-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "REBECA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-526-2426",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000981401",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Therapy Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.