Healthcare Provider Details

I. General information

NPI: 1366379562
Provider Name (Legal Business Name): PLAY & PROGRESS PEDIATRIC THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14436 SW 158TH CT
MIAMI FL
33196-6760
US

IV. Provider business mailing address

14436 SW 158TH CT
MIAMI FL
33196-6760
US

V. Phone/Fax

Practice location:
  • Phone: 786-778-2884
  • Fax:
Mailing address:
  • Phone:
  • 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: SUSANA GUERRA
Title or Position: OWNER
Credential: SLP
Phone: 786-778-2884