MASINO THERAPY SERVICES, LLC (NPI# 1982832614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982832614 |
| Entity Type | Organization |
| Organization Name | MASINO THERAPY SERVICES, LLC |
| Practice Address |
1008 Airport Rd Destin FL 32541-2823 |
| Mailing Address |
1008 Airport Rd Suite D Destin FL 32541-2823 |
| Practice Telephone | 8504245210 |
| Practice Fax Number | 8504243220 |
| Mailing Telephone | 8504245210 |
| Mailing Fax Number | 8504243220 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2012-03-02 |
| Authorized Official Name | DR. THEODORE PETER MASINO II (PRESIDENT) |
| Authorized Official Telephone | 8507976060 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | PY6559 | FL | Nursing & Custodial Care Facilities |
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
PY6920 | FL | Nursing & Custodial Care Facilities |
| Street Address |
1008 AIRPORT RD |
| City | DESTIN |
| State | FL |
| Zip Code | 32541-2823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770692998 | Lauren Lindley | Physical Therapist | 1008 Airport Rd, Ste A, Destin, FL 32541-2823 | 2006-08-30 |
| 1023561743 | Haley Camille Holt | Physical Therapist | 1008 Airport Rd, Destin, FL 32541-2823 | 2016-07-28 |
| 1356717979 | Rachelle Hufstedler | Psychologist | 1008 Airport Rd, Ste D, Destin, FL 32541-2823 | 2015-08-18 |
| 1700214228 | Masino Mental Health Services, Inc | Psychologist | 1008 Airport Rd, Ste D, Destin, FL 32541-2823 | 2013-10-18 |
| 1548592868 | Marcheta S Nix | Occupational Therapist | 1008 Airport Rd, Suite A, Destin, FL 32541-2823 | 2010-02-11 |
| 1447427547 | Amedisys Florida, L.L.C. | Home Health | 1008 Airport Rd, Suite C, Destin, FL 32541-2823 | 2008-05-08 |
| 1982815619 | Jamey Morgan Starling | Massage Therapist | 1008 Airport Rd, Suite D, Destin, FL 32541-2823 | 2007-05-24 |
| 1699885368 | Kimberly Ohara | Physical Therapy Assistant | 1008 Airport Rd, Suite A, Destin, FL 32541-2823 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578020574 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | Sec of Hwy 98 and Gulf Shore Drive, Destin, FL 32541 | 2019-02-26 |
| 1932640471 | Kathryn Clower | Chiropractor | 36474c Emerald Coast Pkwy Ste 3101, Destin, FL 32541 | 2017-03-16 |
| 1881133148 | Danielle Mckinney | Physical Therapist | 35008 Emerald Coast Pkwy Ste 400, Destin, FL 32541 | 2017-02-20 |
| 1417304643 | Coastal Pediatric Group | Pediatrics | 36468 Emerald Coast Pkwy Unit 2101, Destin, FL 32541 | 2016-05-17 |
| 1336563956 | Blu By The Sea,llc | Clinic/Center | 3399 Scenic Highway 98, Destin, FL 32541 | 2014-02-18 |
| 1740539535 | Courtney Breaux Mcgee | Physician Assistant | 155 Crystal Beach Drive #121, Destin, FL 32541 | 2012-09-07 |
| 1073861704 | Nathan Hall Dmd Pl | Dentist | 4484 Legendary Dr, Suite B, Destin, FL 32541 | 2012-08-28 |
| 1982991121 | Bayshore Retreat, LLC | Substance Abuse Rehabilitation Facility | 457 Cahoun Ave, Destin, FL 32541 | 2011-07-08 |
| 1457661605 | Destin Surgery Clinic, P.a. | Specialist | 415 Mountain Drive, Suite # 6, Destin, FL 32541 | 2010-10-20 |
| 1194032581 | Laura Mathisen | Behavioral Analyst | 3820 Misty Way, Destin, FL 32541 | 2010-09-07 |
| Find all providers in zip 32541 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1356964555 | Cordoba Alf LLC | Assisted Living Facility | 1135 Sw 100th Ct, Miami, FL 33174-2848 | 2020-05-21 |
| 1205461563 | Alegria Alf LLC | Assisted Living Facility | 1150 Sw 103rd Ct, Miami, FL 33174-2759 | 2020-03-06 |
| 1134764368 | Aum Haven LLC | Assisted Living Facility | 2763 Carmel Ct, Kissimmee, FL 34746-3268 | 2019-11-12 |
| 1275180515 | 1161 Cambridge LLC | Assisted Living Facility | 1161 W 2nd St, Riviera Beach, FL 33404-7627 | 2019-08-21 |
| 1386291623 | Cambridge 13 LLC | Assisted Living Facility | 1560 W 13th St, Riviera Beach, FL 33404-6521 | 2019-08-21 |
| 1851948418 | 3411 Ave Cambridge LLC | Assisted Living Facility | 3411 Avenue H E, Riviera Beach, FL 33404-2101 | 2019-08-19 |
| 1326694308 | W 2nd Cambridge LLC | Assisted Living Facility | 570 W 2nd St, Riviera Beach, FL 33404-7616 | 2019-08-14 |
| 1154976512 | Quality Health Care of Florida.llc | Assisted Living Facility | 1250 Nw 122nd Ave, Plantation, FL 33323-2420 | 2019-08-02 |
| Find all providers with the same taxonomy | ||||
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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.