| Beyond Therapy Group LLC | |
|
10300 Sw 72nd St Ste 358 Miami FL 33173-3020 | |
| (786) 313-3541 | |
| (305) 397-0907 |
| Full Name | Beyond Therapy Group LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 10300 Sw 72nd St Ste 358, Miami, Florida |
| Authorized Official Name and Position | Annette Betancourt (CEO) |
| Authorized Official Contact | 7865537032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Therapy Group LLC 10300 Sw 72nd St Ste 358 Miami FL 33173-3020 Ph: (786) 313-3541 | Beyond Therapy Group LLC 10300 Sw 72nd St Ste 358 Miami FL 33173-3020 Ph: (786) 313-3541 |
| NPI Number | 1619368123 |
|---|---|
| Provider Enumeration Date | 02/05/2015 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619368123 | NPI | - | NPPES |
| 014615700 | Medicaid | FL | |
| 008257100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 225X00000X | Occupational Therapist | (NU) | Secondary |
| 235Z00000X | Speech-language Pathologist | (NU) | Secondary |
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