MEDICARE: BEYOND THERAPY GROUP LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	261QM1300X	Multi-Specialty Clinic/Center

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619368123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEYOND THERAPY GROUP LLC

Provider Business Mailing Address
First Line	:	10300 SW 72ND ST STE 358
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3020
Country	:	US
Telephone Number	:	786-313-3541
Fax Number	:	305-397-0907

Provider Business Practice Location Address
First Line	:	10300 SW 72ND ST STE 358
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3020
Country	:	US
Telephone Number	:	786-313-3541
Fax Number	:	305-397-0907

Authorized Official
Title or Position	:	CEO
Name	:	ANNETTE BETANCOURT
Credential	:
Telephone Number	:	786-553-7032

Provider Enumeration Date	:	02/05/2015
Last Update Date	:	07/21/2022

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Directions to “BEYOND THERAPY GROUP LLC ” Practice Location

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