Healthcare Provider Details

I. General information

NPI: 1831435767
Provider Name (Legal Business Name): THERAPY MEDICAL REHABILITATION CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2012
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 W 49TH ST STE 404
HIALEAH FL
33012-2978
US

IV. Provider business mailing address

1840 W 49TH ST STE 404
HIALEAH FL
33012-2978
US

V. Phone/Fax

Practice location:
  • Phone: 305-828-9980
  • Fax: 786-507-4734
Mailing address:
  • Phone: 305-828-9980
  • Fax: 786-507-4734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberHCC5898
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARTA OBREGON
Title or Position: OWNER
Credential:
Phone: 305-828-9980