RENASCENCE THERAPY CENTER, INC (NPI# 1952647539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952647539 |
| Entity Type | Organization |
| Organization Name | RENASCENCE THERAPY CENTER, INC |
| Practice Address |
15291 Nw 60th Ave Suite 100 Miami Lakes FL 33014 |
| Practice Telephone | 3055498876 |
| Practice Fax Number | 3055498877 |
| Mailing Telephone | 3055498876 |
| Mailing Fax Number | 3055498877 |
| Enumeration Date | 2012-12-30 |
| Last Update Date | 2019-02-14 |
| Authorized Official Name | MRS. YORDANKA IBARRA (PRESIDENT/OWNER) |
| Authorized Official Telephone | 7863289217 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
15291 NW 60TH AVE SUITE 100 |
| City | MIAMI LAKES |
| State | FL |
| Zip Code | 33014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568083830 | Mj Pharmacy & Discount LLC | Pharmacy | 1545 West 62nd Street, Suite 62, Hialeah, FL 33014 | 2020-04-28 |
| 1699301333 | Alexander Tamayo Ochoa | Nurse Practitioner | 5400 Nw 159 St Apt 123, Hialeah, FL 33014 | 2020-03-13 |
| 1609336114 | Edward Alexander Pardo | Counselor | 6225 Miami Lakes Drive, Hialeah, FL 33014 | 2019-03-21 |
| 1780158394 | Remedys Nutrition Cv | Pharmacy | 7331 Miami Lakes Dr, Miami Lakes, FL 33014 | 2019-01-16 |
| 1962993642 | Yuleika Rodriguez Gonzalez | Behavior Technician | 6961 W 14th Ct Apt 203, Hialeah, FL 33014 | 2018-05-29 |
| 1730676719 | Bright Steps Therapy Services LLC | Physical Therapy Assistant | 1900 W 68th St Apt E306, Hialeah, FL 33014 | 2018-04-16 |
| 1093211443 | One Soul Cmh Inc | Case Management | 5803 Nw 151st St Ste 202, Miami Lakes, FL 33014 | 2018-04-04 |
| 1528560331 | Yuramis Perez Salvador | Behavior Technician | 8365 W 18 Lane Dr, Hialeah, FL 33014 | 2018-03-07 |
| 1396253613 | Miami Lakes Behavioral Services Corp | Behavioral Analyst | 6001 Nw 153rd Street, Suite 157, Miami Lakes, FL 33014 | 2018-01-22 |
| 1447768452 | Ballast Medical Management, LLC. | Exclusive Provider Organization | 6001 Nw 153rd St Ste 100, Miami Lakes, FL 33014 | 2018-01-12 |
| Find all providers in zip 33014 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766235 | Priscilla Motta | Speech-Language Pathologist | 15291 Nw 60th Ave Ste 104, Miami Lakes, FL 33014-2459 | 2020-09-25 |
| 1386127926 | Dianelis Avila Caballero | Speech-Language Pathologist | 15291 Nw 60th Ave Ste 101, Miami Lakes, FL 33014-2459 | 2018-09-10 |
| 1285133272 | Chantelly Alexandra Amador | Speech-Language Pathologist | 15819 Nw 91st Ct, Miami Lakes, FL 33018-6361 | 2018-02-06 |
| 1972954105 | Diana Constanza Sanchez | Speech-Language Pathologist | 5979 Nw 151st St Ste 208, Miami Lakes, FL 33014-2446 | 2016-06-29 |
| 1194114298 | Fussion Therapy,inc | Speech-Language Pathologist | 9500 Nw 77th Ave Ste 3, Miami Lakes, FL 33016-2502 | 2015-01-13 |
| 1184022006 | Angelica M Ortiz Garcia | Speech-Language Pathologist | 6471 Main St, Apt. 304, Miami Lakes, FL 33014-2254 | 2014-12-09 |
| 1295148575 | Stephanie Martinez | Speech-Language Pathologist | 8004 Nw 154th St # 215, Miami Lakes, FL 33016-5814 | 2014-06-04 |
| 1386062891 | Treasure Chat Therapy Center, Inc. | Speech-Language Pathologist | 8306 Commerce Way, 138, Miami Lakes, FL 33016-1608 | 2014-04-01 |
| 1790116754 | Leidin Torres | Speech-Language Pathologist | 15271 Nw 60th Ave, Miami Lakes, Miami Lakes, FL 33014 | 2013-12-02 |
| 1790118032 | Elany Mena | Speech-Language Pathologist | 15175 Eagle Nest Ln Ste 100, Miami Lakes, FL 33014-2244 | 2013-08-09 |
| Find all providers in MIAMI LAKES | ||||
| City | MIAMI LAKES |
| Zip Code | 33014 |
Please comment or provide details below to improve the information on RENASCENCE THERAPY CENTER, INC.
| 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.