Organization Active NPI

Therapy Specialist Services 1 Inc.

  • Behavior Analyst
  • Cutler Bay, FL
National Provider Identifier
1740690460
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
THERAPY SPECIALIST SERVICES 1 INC.
Practice address
18951 SW 106TH Ave Ste 105-106
Cutler Bay, FL 33157-7668
Phone
(305) 233-4448
Fax
(305) 760-4704
NPI assigned
May 2, 2014
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Maria MesaNPI 1063902005
Title
Ceo
Phone
(305) 233-4448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT24738 FL
Occupational Therapist 225X00000X OTR14201 FL
Speech-Language Pathologist 235Z00000X SA11940 FL
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

18951 SW 106TH Ave Ste 105-106
Cutler Bay, FL 33157-7668

Mailing address

18951 SW 106TH Ave Ste 105-106
Cutler Bay, FL 33157-7668
Phone (305) 233-4448

Other identifiers 2

IdentifierTypeStateIssuer
010835800MedicaidFL
017606700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220627003213 FL Part B Supplier - Clinic/Group Practice 3072992775 Receives reassigned benefits from 4 practitioners
Practice locations: Cutler Bay, FL

National Provider Directory

National Provider Directory

Locations

18951 SW 106th Ave
Ste 105
Cutler Bay, FL 33157
Phone (305) 233-4448

18951 SW 106th Ave
Ste 105106
Cutler Bay, FL 33157
Phone (305) 223-4448

18951 SW 106th Ave
Ste 110
Cutler Bay, FL 33157
Phone (305) 233-4448

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1740690460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18951 SW 106TH AVE STE 105-106",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577668",
            "telephone_number": "305-233-4448",
            "fax_number": "305-760-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18951 SW 106TH AVE STE 105-106",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577668",
            "telephone_number": "305-233-4448",
            "fax_number": "305-760-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SPECIALIST SERVICES 1 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-233-4448"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24738",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OTR14201",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11940",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010835800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017606700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.