NPIMap

Organization Active NPI

Therapy Care Rehab, Inc.

  • Geriatric Physical Therapist
  • Pembroke Pines, FL
National Provider Identifier
1780325092
Registry record updated Jun 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
Legal business name
THERAPY CARE REHAB, INC.
Practice address
729 SW 122ND Ave
Pembroke Pines, FL 33025-5951
Phone
(786) 606-1806
NPI assigned
Apr 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2022

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

Authorized official

Name
Katherin A GutierrezNPI 1083232185
Title
President
Phone
(786) 606-1806

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Driving and Community Mobility Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224ZR0403X
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X Primary

Addresses

Primary practice location

729 SW 122ND Ave
Pembroke Pines, FL 33025-5951

Mailing address

729 SW 122ND Ave
Pembroke Pines, FL 33025-5951
Phone (786) 606-1806

Other names 1

  • TCR home care Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220830004595 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9234513896 Receives reassigned benefits from 4 practitioners
Practice locations: Pembroke Pines, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1648857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655510400000",
    "number": "1780325092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 SW 122ND AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255951",
            "telephone_number": "786-606-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 SW 122ND AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255951",
            "telephone_number": "786-606-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY CARE REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-02",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-18",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "KATHERIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-606-1806"
    },
    "taxonomies": [
        {
            "code": "224ZR0403X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant, Driving and Community Mobility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TCR home care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "TCR home care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2022; 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.