Healthcare Provider Details

I. General information

NPI: 1740690460
Provider Name (Legal Business Name): THERAPY SPECIALIST SERVICES 1 INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2014
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18951 SW 106TH AVE STE 105-106
CUTLER BAY FL
33157-7668
US

IV. Provider business mailing address

18951 SW 106TH AVE STE 105-106
CUTLER BAY FL
33157-7668
US

V. Phone/Fax

Practice location:
  • Phone: 305-233-4448
  • Fax: 305-760-4704
Mailing address:
  • Phone: 305-233-4448
  • Fax: 305-760-4704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT24738
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTR14201
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA11940
License Number StateFL

VIII. Authorized Official

Name: MARIA MESA
Title or Position: CEO
Credential:
Phone: 305-233-4448