MB Therapy Services Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT17879 Issued in FL

Legal business name

MB THERAPY SERVICES INC

Practice address

489 Hialeah Dr
Suite 12
Hialeah, FL 33010-5320

Phone

(786) 953-6302

Fax

(786) 953-6664

NPI assigned

Apr 29, 2013

Organization subpart

No

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

Authorized official

Name

Marisela Bertot, PT

Title

President

Phone

(305) 335-6845

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1902240302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 HIALEAH DR",
            "address_2": "SUITE 12",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105320",
            "telephone_number": "786-953-6302",
            "fax_number": "786-953-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 HIALEAH DR",
            "address_2": "SUITE 12",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105320",
            "telephone_number": "786-953-6302",
            "fax_number": "786-953-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "BERTOT",
        "authorized_official_first_name": "MARISELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-335-6845",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT17879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004884300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Maytin
• Maz Pharmacy Discount Corp
• Amanda Grace Maza, OTR/L
• Carlos Maza, APRN
• Rosalia Mazon, LCSW
• MC ABA Support Corp
• MC Research Inc
• Kym McCabe, PH.D.
• Casey McCarthy
• Patricia Hernilda McCown, M.S. CCC-SLP

• Physical Therapist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.