MEDICARE: QUALITY CARE THERAPY, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	225100000X	Physical Therapist
3	225700000X	Massage Therapist
4	225X00000X	Occupational Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104810597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY CARE THERAPY, INC.

Provider Business Mailing Address
First Line	:	1395 CANARY ISLAND DR
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33327-2353
Country	:	US
Telephone Number	:	954-385-8566
Fax Number	:	954-239-7777

Provider Business Practice Location Address
First Line	:	1395 CANARY ISLAND DR
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33327-2353
Country	:	US
Telephone Number	:	954-385-8566
Fax Number	:	954-239-7777

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. JORGE CAMACHO
Credential	:
Telephone Number	:	954-385-8566

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	06/10/2011

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Directions to “QUALITY CARE THERAPY, INC. ” Practice Location

Language	Start Address	Practice Location

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