Healthcare Provider Details

I. General information

NPI: 1649661679
Provider Name (Legal Business Name): BREAKTHROUGH THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2015
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7232 SW 39TH TER
MIAMI FL
33155-6624
US

IV. Provider business mailing address

16514 SW 48TH TER
MIAMI FL
33185-5141
US

V. Phone/Fax

Practice location:
  • Phone: 786-409-3254
  • Fax: 786-452-7955
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MRS. VANESSA IGLESIAS-MACHADO
Title or Position: DIRECTOR/OCCUPATIONAL THERAPIST
Credential: M.S., OTR/L
Phone: 786-409-3254