Healthcare Provider Details

I. General information

NPI: 1437096633
Provider Name (Legal Business Name): OASIS THERAPY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 E WASHINGTON ST
PHOENIX AZ
85034-1903
US

IV. Provider business mailing address

7220 BROWN FOX RUN
LAKELAND FL
33810-2636
US

V. Phone/Fax

Practice location:
  • Phone: 407-486-3297
  • Fax:
Mailing address:
  • Phone: 407-486-3297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ISMERY D MORALES MARTINEZ
Title or Position: MANAGING MEMBER
Credential:
Phone: 407-486-3297