MEDICARE: LGS THERAPY SOLUTION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant

General Provider Information

NPI Number	:	1033903257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LGS THERAPY SOLUTION LLC

Provider Business Mailing Address
First Line	:	5234 W 24TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-4014
Country	:	US
Telephone Number	:	786-644-7841
Fax Number	:

Provider Business Practice Location Address
First Line	:	5234 W 24TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-4014
Country	:	US
Telephone Number	:	786-644-7841
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LAURA GOMEZ
Credential	:
Telephone Number	:	786-644-7841

Provider Enumeration Date	:	04/04/2025
Last Update Date	:	04/04/2025

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Directions to “LGS THERAPY SOLUTION LLC ” Practice Location

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