MEDICARE: SUE DANIELS O'DRISCOLL PT, DPT

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	222Q00000X	Developmental Therapist
2	225100000X	Physical Therapist	PT38030	FL

General Provider Information

NPI Number	:	1710220165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUE DANIELS O'DRISCOLL PT, DPT

Provider Business Mailing Address
First Line	:	555 AMORY ST
Second Line	:
City	:	JAMAICA PLAIN
State	:	MA
Zip	:	02130-2652
Country	:	US
Telephone Number	:	617-383-6522
Fax Number	:	617-383-6520

Provider Business Practice Location Address
First Line	:	12448 SW 127TH AVE FL 2
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-6596
Country	:	US
Telephone Number	:	704-737-3182
Fax Number	:	617-383-6520

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2013
Last Update Date	:	04/18/2022

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

1699836049 — VICTORIA GUZMAN M.S. CCC-SLP
Practice Location Address:

12448 SW 127TH AVE
MIAMI, FL
33186-6596

Practice Phone: 305-255-5980
Practice Fax: 305-255-9766

1912207663 — ANNE BABITZ PT
Practice Location Address:

12444 SW 127TH AVE
MIAMI, FL
33186-6596

Practice Phone: 305-978-7587
Practice Fax:

1538661624 — BERNADETTE ALGER
Practice Location Address:

12448 SW 127TH AVE
MIAMI, FL
33186-6596

Practice Phone: 305-255-5980
Practice Fax:

1356835649 — DANIELLE RODRIGUEZ
Practice Location Address:

12448 SW 127TH AVE
MIAMI, FL
33186-6596

Practice Phone: 305-255-5980
Practice Fax:

1346706033 — CHRISTOPHER MENA-GIBSON MA, BCBA
Practice Location Address:

12448 SW 127TH AVE FL 2
MIAMI, FL
33186-6596

Practice Phone: 786-953-8500
Practice Fax:

Directions to “ SUE DANIELS O'DRISCOLL PT, DPT” 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.