MEDICARE: MIAMI PHYSICAL THERAPY

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	251B00000X	Case Management Agency		FL

General Provider Information

NPI Number	:	1245550938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIAMI PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	2016 BAY DR
Second Line	:	PH 905
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-4436
Country	:	US
Telephone Number	:	305-300-9454
Fax Number	:

Provider Business Practice Location Address
First Line	:	2016 BAY DR
Second Line	:	PH 905
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-4436
Country	:	US
Telephone Number	:	305-300-9454
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARILYN MIRALLES
Credential	:
Telephone Number	:	305-300-9454

Provider Enumeration Date	:	06/04/2010
Last Update Date	:	06/04/2010

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Directions to “MIAMI PHYSICAL THERAPY ” Practice Location

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