SHORES THERAPY, LLC (NPI# 1396247482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396247482 |
| Entity Type | Organization |
| Organization Name | SHORES THERAPY, LLC |
| Other Organization Name | GLADES THERAPY, LLC |
| Practice Address |
358 Ne 105th St Miami Shores FL 33138-2022 |
| Practice Telephone | 3055884210 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |
| Authorized Official Name | CECILIA HEREDIA (DIRECTOR OF THERAPY) |
| Authorized Official Telephone | 3055884210 |
| Authorized Official Credential | MPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PERSONAL NPI | 1487766689 | 01 |
| Other Name | Type Code |
|---|---|
| Glades Therapy, LLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609255926 | Shores Therapy, LLC | Psychologist | 557 7th St W, Saint Paul, MN 55102-3065 | 2015-05-19 |
| Street Address |
358 NE 105TH ST |
| City | MIAMI SHORES |
| State | FL |
| Zip Code | 33138-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487766689 | Cecilia Heredia | Physical Therapist | 358 Ne 105th St, Miami Shores, FL 33138-2022 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801359559 | Kenneth Wayne Roberts | Student in an Organized Health Care Education/Training Program | Aventura Hospital & Medical Center, 20900 Biscayne Blvd, Aventura, FL 33138 | 2019-04-10 |
| 1073081121 | Speak E-z Therapy LLC | Clinic/Center | 1040 Ne 86th St, Miami, FL 33138 | 2018-11-07 |
| 1841795747 | Maria Virginia Gomez Padron | General Practice | 7858 Ne 2nd Ave Fl 33138, Miami, FL 33138 | 2018-03-24 |
| 1760991780 | A Star Companion, Inc | In Home Supportive Care | 9628 N.e 2 Ave Suite A4, Miami Shores, FL 33138 | 2017-09-21 |
| 1598114241 | Cynthia K Monroe | Behavior Technician | 6723 Ne Miami Place, Miami, FL 33138 | 2016-06-03 |
| 1386019701 | Claudio Bandiera | Physical Therapist | 8030 Ne 5th Ave Ste 4, Miami, FL 33138 | 2015-12-10 |
| 1477942845 | Mahfar, LLC | Pharmacy | 6301 Biscayne Blvd #101, Miami, FL 33138 | 2015-01-22 |
| 1043641137 | Nicolas Ledon | Counselor | 9999 Ne 2nd Ave Ste 311, Miami Shores, FL 33138 | 2013-11-27 |
| 1427326487 | Carevantage Medical Centers of Miami Shores, LLC | General Practice | 9726-30 Ne 2 Ave, Miami Shores, FL 33138 | 2011-12-06 |
| 1013212166 | Anabelle Maldonado-medina M.d P A | Specialist | 9999 Ne 2nd Ave Ste 208, Miami Shores, FL 33138 | 2011-01-21 |
| Find all providers in zip 33138 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
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| 1558962019 | Ldg Medical Center LLC | Clinic/Center | 4485 Stirling Rd, Davie, FL 33314-7517 | 2020-11-02 |
| 1255930855 | Tideline Sports Performance & Rehabilitation LLC | Clinic/Center | 5261 Paylor Ln, Lakewood Ranch, FL 34240-2203 | 2020-10-23 |
| 1578162780 | Fourth Trimester Wellness LLC | Clinic/Center | 711 Chancellar Dr, Lutz, FL 33548-4512 | 2020-10-19 |
| 1306445754 | Concierge Rehab Inc | Clinic/Center | 1045 E Heritage Club Cir, Delray Beach, FL 33483-3483 | 2020-10-17 |
| 1689272627 | Ucdm Services Inc | Clinic/Center | 12030 Sw 129th Ct Ste 103, Miami, FL 33186-4584 | 2020-10-12 |
| 1902404163 | Frontline Physical Therapy | Clinic/Center | 8655 Bayou Way N, Pinellas Park, FL 33782-4549 | 2020-10-11 |
| 1891393138 | Venice Physical Therapy and Sports Medicine | Clinic/Center | 1776 S Tamiami Trl, Venice, FL 34293-1602 | 2020-10-09 |
| 1750988812 | Angeles Medical Center,inc. | Clinic/Center | 8725 Nw 18th Ter Ste 403, Doral, FL 33172-2610 | 2020-10-02 |
| 1740887967 | Neuro Thrive LLC | Clinic/Center | 1963 Ne Felicita Pl, Jensen Beach, FL 34957-5756 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI SHORES |
| Zip Code | 33138 |
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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.