Healthcare Provider Details

I. General information

NPI: 1184813230
Provider Name (Legal Business Name): OMNITHERAPY INSTITUTE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2007
Last Update Date: 10/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 HIALEAH DR
HIALEAH FL
33010-5346
US

IV. Provider business mailing address

427 HIALEAH DR
HIALEAH FL
33010-5346
US

V. Phone/Fax

Practice location:
  • Phone: 305-888-8801
  • Fax: 305-888-8051
Mailing address:
  • Phone: 305-888-8801
  • Fax: 305-888-8051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAVERIO CUSUMANO
Title or Position: PRESIDENT
Credential: OT
Phone: 305-888-8801