Healthcare Provider Details

I. General information

NPI: 1225661531
Provider Name (Legal Business Name): JMR THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2020
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 NW 170TH ST
MIAMI GARDENS FL
33055-4330
US

IV. Provider business mailing address

16738 87TH LN N
LOXAHATCHEE FL
33470-1732
US

V. Phone/Fax

Practice location:
  • Phone: 786-901-0289
  • Fax:
Mailing address:
  • Phone: 305-390-4292
  • Fax: 786-558-0216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. MARIANELA MACIAS
Title or Position: OWNER
Credential: OTR/L
Phone: 786-901-0289