ADVANCE THERAPY WORKS INC (NPI# 1104919653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104919653 |
| Entity Type | Organization |
| Organization Name | ADVANCE THERAPY WORKS INC |
| Practice Address |
12060 Sw 129th Ct Suite 107 Miami FL 33186-4581 |
| Practice Telephone | 3053785247 |
| Practice Fax Number | 3053786760 |
| Mailing Telephone | 3053785247 |
| Mailing Fax Number | 3053786760 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-10-24 |
| Authorized Official Name | MR. LUZ STELLA FUENTES (PRESIDENT) |
| Authorized Official Telephone | 3053785247 |
| Authorized Official Credential | O.T |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
HCC8245 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 686115696 | 05 | |
| FL | 887899400 | 05 |
| Street Address |
12060 SW 129TH CT SUITE 107 |
| City | MIAMI |
| State | FL |
| Zip Code | 33186-4581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477921229 | Kelly Marshall | Speech-Language Pathologist | 12060 Sw 129th Ct, #107, Miami, FL 33186-4581 | 2015-09-10 |
| 1871998039 | Advance Therapy Works | Speech-Language Pathologist | 12060 Sw 129th Ct, Suite 107, Miami, FL 33186-4581 | 2014-10-30 |
| 1093110405 | Osvaldo Perez | Physical Therapy Assistant | 12060 Sw 129th Ct, Suite 107, Miami, FL 33186-4581 | 2014-10-28 |
| 1871998294 | Jenna A Spitzer | Speech-Language Pathologist | 12060 Sw 129th Ct, #107, Miami, FL 33186-4581 | 2014-10-28 |
| 1023438348 | Advance Therapy Works Inc. | Occupational Therapy Assistant | 12060 Sw 129th Ct, Suite #107, Miami, FL 33186-4581 | 2014-04-25 |
| 1407274616 | Rosaida Perez | Occupational Therapy Assistant | 12060 Sw 129th Ct, Suite #107, Miami, FL 33186-4582 | 2014-04-03 |
| 1619300563 | Joel Sechler | Physical Therapist | 12060 Sw 129th Ct, Miami, FL 33186-4581 | 2013-08-14 |
| 1487092342 | Vanessa Dibujes | Occupational Therapist | 12060 Sw 129th Ct, #107, Miami, FL 33186-4581 | 2013-06-12 |
| 1942541032 | Patricia Lorie | Occupational Therapist | 12060 Sw 129th Ct, Suite 107, Miami, FL 33186-4581 | 2013-03-14 |
| 1356687594 | Shannon Gamble | Speech-Language Pathologist | 12060 Sw 129th Ct, Suite 107, Miami, FL 33186-4581 | 2012-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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| 1568005411 | Depena Health Group LLC | Clinic/Center | 7171 Sw 24th St Ste 316, Miami, FL 33155-1692 | 2019-10-23 |
| 1356990444 | Rehab Center Ag Inc | Clinic/Center | 1250 Sw 27th Ave Ste 506, Miami, FL 33135-4751 | 2019-09-10 |
| 1881240935 | Contender Recovery | Clinic/Center | 6821 Sw 44th St Apt 304, Miami, FL 33155-4758 | 2019-08-14 |
| 1891293668 | Petersen Medical Corp. | Clinic/Center | 7235 Coral Way Ste 213, Miami, FL 33155-1452 | 2018-01-26 |
| 1437661683 | Cora Health Services Inc | Clinic/Center | 6790 Coral Way, Miami, FL 33155-1702 | 2017-10-27 |
| 1548772049 | Cora Health Services Inc | Clinic/Center | 15449 Sw 137th Ave, Miami, FL 33177-1279 | 2017-10-25 |
| 1598276784 | Premier Pain Medical Center, Inc. | Clinic/Center | 3399 Nw 72nd Ave Ste 101, Miami, FL 33122-1355 | 2017-10-16 |
| 1386154029 | Pro Medical Institute Inc | Clinic/Center | 330 Sw 27th Ave Ste 604, Miami, FL 33135-2968 | 2017-10-09 |
| 1477078947 | Motion Recovery Corp | Clinic/Center | 12595 Sw 137th Ave Ste 104, Miami, FL 33186-4218 | 2017-08-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.