Advance Therapy Works

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ6924 Issued in FL

Legal business name

ADVANCE THERAPY WORKS

Practice address

12060 SW 129TH CT
Suite 107
Miami, FL 33186-4581

Phone

(305) 378-5247

Fax

(305) 378-6760

NPI assigned

Oct 30, 2014

Last updated

Oct 30, 2014By 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

Mrs. Luz S Fuentes, OTR/LNPI 1083716807

Title

Clinical Director, Otr/L

Phone

(305) 378-5247

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Advance Therapy Works3 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.

• Advance Therapy Works Inc

  • Rehabilitation Clinic/Center
  • Miami, FL
  • NPI 1104919653
  NPD tax ID
• Advance Therapy Works Inc.

  • Occupational Therapy Assistant
  • Miami, FL
  • NPI 1023438348
  NPD tax ID

Locations

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.

• Luz Stella Fuentes, O.T.

  • Occupational Therapist
  • Miami, FL
  • NPI 1083716807
  NPD (past) Authorized official

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1871998039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12060 SW 129TH CT",
            "address_2": "SUITE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864581",
            "telephone_number": "305-378-5247",
            "fax_number": "305-378-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12060 SW 129TH CT",
            "address_2": "SUITE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864581",
            "telephone_number": "305-378-5247",
            "fax_number": "305-378-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE THERAPY WORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR, OTR/L",
        "authorized_official_telephone_number": "305-378-5247",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ6924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF HEALTH PROFESSIONAL LICENSE",
            "identifier": "SZ6924",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advance Renal Care LLC
• Advance Research Center, LLC
• Advance Sleep Solutions, Inc
• Advance Therapy Center
• Advance Therapy Center, Inc.
• Advance Therapy Works Inc
• Advance Therapy Works Inc.
• Advance Urgent Care Center LLC
• Advance Your Speech, Corp.
• Advanceaba Inc.

• Speech-Language Pathologist in Miami, FL
• Providers in Miami, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.