MEDICARE: OCEAN THERAPY GROUP INC

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1760794077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCEAN THERAPY GROUP INC

Provider Business Mailing Address
First Line	:	1111 HYPOLUXO RD
Second Line	:	SUITE 107
City	:	LANTANA
State	:	FL
Zip	:	33462-4271
Country	:	US
Telephone Number	:	561-586-3400
Fax Number	:	561-585-0079

Provider Business Practice Location Address
First Line	:	1111 HYPOLUXO RD
Second Line	:	SUITE 104
City	:	LANTANA
State	:	FL
Zip	:	33462-4271
Country	:	US
Telephone Number	:	561-557-5702
Fax Number	:	561-557-5662

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DR. STEPHEN LOUIS NEMEROFSKY
Credential	:	M.D.
Telephone Number	:	561-586-3400

Provider Enumeration Date	:	07/02/2010
Last Update Date	:	06/24/2014

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Directions to “OCEAN THERAPY GROUP INC ” Practice Location

Language	Start Address	Practice Location

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