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NPI Code Detail

MEDICARE: THERAGROUP INC

MEDICARE: THERAGROUP INC
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
1225100000XPhysical TherapistPT 13065FL
2225X00000XOccupational TherapistOT 10360FL

General Provider Information

NPI Number : 1891796041
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAGROUP INC
Provider Business Mailing Address
First Line : 1815 PURDY AVE
Second Line : SUITE 100A
City : MIAMI BEACH
State : FL
Zip : 33139-1425
Country : US
Telephone Number : 305-604-5591
Fax Number : 305-604-5592
Provider Business Practice Location Address
First Line : 1815 PURDY AVE
Second Line : SUITE 100A
City : MIAMI BEACH
State : FL
Zip : 33139-1425
Country : US
Telephone Number : 305-604-5591
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. PEDRO TOMAS MACHIN JR.
Credential : OTR/L
Telephone Number : 305-604-5591
Provider Enumeration Date : 08/09/2005
Last Update Date : 09/11/2025

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Directions to “THERAGROUP INC ” Practice Location

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