123 THERAPY INC. (NPI# 1538592977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538592977 |
Entity Type | Organization |
Organization Name | 123 THERAPY INC. |
Practice Address |
3670 N 54th Ave Hollywood FL 33021-2340 |
Practice Telephone | 3056519311 |
Practice Fax Number | 7542011390 |
Mailing Fax Number | 7542011390 |
Enumeration Date | 2013-08-20 |
Last Update Date | 2019-05-30 |
Authorized Official Name | MARIANA TALARICO DE NOLASCO (PRESIDENT/OWNER) |
Authorized Official Telephone | 3056519311 |
Authorized Official Credential | PT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | PT21718 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 225200000X | Physical Therapy Assistant | PTA20109 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 225200000X | Physical Therapy Assistant | PTA19414 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 225200000X | Physical Therapy Assistant | PTA21752 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 225200000X | Physical Therapy Assistant | PTA22491 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 235Z00000X | Speech-Language Pathologist | SA10823 | FL | Speech, Language and Hearing Service Providers |
N | 235Z00000X | Speech-Language Pathologist | SA11876 | FL | Speech, Language and Hearing Service Providers |
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 004221900 | 05 |
Street Address |
3670 N 54TH AVE |
City | HOLLYWOOD |
State | FL |
Zip Code | 33021-2340 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548314578 | Mariana Talarico De Nolasco | Physical Therapist | 3670 N 54th Ave, Hollywood, FL 33021-2340 | 2007-01-23 |
1649886052 | Solange Acosta | Developmental Therapist | 3670 N 54th Ave, Hollywood, FL 33021-2340 | 2020-09-21 |
1447877329 | Martin Facundo Nolasco | Occupational Therapist | 3670 N 54th Ave, Hollywood, FL 33021-2340 | 2020-06-26 |
1679196703 | Ann Morales | Physical Therapy Assistant | 3670 N 54th Ave, Hollywood, FL 33021-2340 | 2020-05-23 |
1588206809 | Victoria Trujillo | Occupational Therapist | 3670 N 54th Ave, Hollywood, FL 33021-2340 | 2019-10-09 |
1598175234 | Luis Ruben Guevara | Physical Therapy Assistant | 3670 N 54th Ave, Hollywood, FL 33021-2340 | 2014-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
Find all providers in zip 33021 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578108551 | Rambam Medical Inc | Clinic/Center | 7081 Taft St, Hollywood, FL 33024-3803 | 2019-11-13 |
1386293785 | Mj Doc Health Center 2 Inc | Clinic/Center | 6101 Hollywood Blvd, Hollywood, FL 33024-7937 | 2019-09-09 |
1316422462 | Alcasias Corp | Clinic/Center | 2719 Hollywood Blvd Ste A-1512, Hollywood, FL 33020-4821 | 2018-09-25 |
1447610712 | Family Pain & Health Center, LLC. | Clinic/Center | 6222 Johnson St, Hollywood, FL 33024-5932 | 2016-03-01 |
1104247725 | South Florida Spine and Wellness Center, Inc. | Clinic/Center | 6908 Stirling Rd, Hollywood, FL 33024-1839 | 2013-12-27 |
1679847990 | Stirling Medical Center, Inc | Clinic/Center | 5892 Stirling Rd Ste 2, Hollywood, FL 33021-1541 | 2012-03-05 |
1851623573 | Fisioterapia Hollywodd Medical | Clinic/Center | 115 S 17th Ave, Hollywood, FL 33020-6801 | 2010-02-04 |
1609104439 | Quality Care Pl | Clinic/Center | 3800 S Ocean Dr Ste G3, Hollywood, FL 33019-2906 | 2009-12-07 |
1134350309 | Broward Physician Therapy Corp | Clinic/Center | 2440 N 59th Ter, Hollywood, FL 33021-3265 | 2009-08-05 |
1083881874 | Associates for Psychological Services, Inc. | Clinic/Center | 940 S Federal Hwy, Hollywood, FL 33020-6024 | 2008-05-12 |
Find all providers in HOLLYWOOD |
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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.