Healthcare Provider Details

I. General information

NPI: 1588540272
Provider Name (Legal Business Name): JMR THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10712 TIMBER CREEK DR
FORT MYERS FL
33913-0068
US

IV. Provider business mailing address

16738 87TH LN N
LXHTCHEE GRVS FL
33470-1732
US

V. Phone/Fax

Practice location:
  • Phone: 786-901-0289
  • Fax:
Mailing address:
  • Phone: 786-901-0289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIANELA MACIAS
Title or Position: OWNER
Credential: OTR
Phone: 786-901-0289