MEDICARE: MT THERAPY 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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1063924298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MT THERAPY LLC

Provider Business Mailing Address
First Line	:	5571 NW 188TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-2337
Country	:	US
Telephone Number	:	786-797-2509
Fax Number	:

Provider Business Practice Location Address
First Line	:	5571 NW 188TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-2337
Country	:	US
Telephone Number	:	786-797-2509
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	TANIA SUVERO
Credential	:
Telephone Number	:	786-797-2509

Provider Enumeration Date	:	10/27/2017
Last Update Date	:	10/27/2017

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1235643792 — TANIA SUVERO
Practice Location Address:

5571 NW 188TH ST
MIAMI GARDENS, FL
33055-2337

Practice Phone: 786-797-2509
Practice Fax:

1265578082 — DR. LEE WEITZMAN DDS
Practice Location Address:

6435 SPRINGFIELD BLVD
OAKLAND GARDENS, NY
11364-2337

Practice Phone: 718-229-5500
Practice Fax:

1376798637 — MRS. MARIELA MARZINI MS, SLP
Practice Location Address:

8333 118TH ST APT 2E
KEW GARDENS, NY
11415-2337

Practice Phone: 718-813-3635
Practice Fax:

1922323435 — LILY O OTOLORIN M.D.
Practice Location Address:

2337 KEW GARDENS DR
WOODBRIDGE, VA
22191-6577

Practice Phone: 646-593-6787
Practice Fax:

1124482773 — CORNERSTONE MEDICAL SERVICES PC
Practice Location Address:

2337 KEW GARDENS DR
WOODBRIDGE, VA
22191-6577

Practice Phone: 646-593-6787
Practice Fax:

Directions to “MT THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.