| Therapy Specialist Services 1 Inc. | |
|
18951 Sw 106th Ave Ste 105-106 Cutler Bay FL 33157-7668 | |
| (305) 233-4448 | |
| (305) 760-4704 |
| Full Name | Therapy Specialist Services 1 Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 18951 Sw 106th Ave Ste 105-106, Cutler Bay, Florida |
| Authorized Official Name and Position | Maria Mesa (CEO) |
| Authorized Official Contact | 3052334448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Specialist Services 1 Inc. 18951 Sw 106th Ave Ste 105-106 Cutler Bay FL 33157-7668 Ph: (305) 233-4448 | Therapy Specialist Services 1 Inc. 18951 Sw 106th Ave Ste 105-106 Cutler Bay FL 33157-7668 Ph: (305) 233-4448 |
| NPI Number | 1740690460 |
|---|---|
| Provider Enumeration Date | 05/02/2014 |
| Last Update Date | 01/27/2025 |
| Certification Date | 01/27/2025 |
| Medicare PECOS PAC ID | 3072992775 |
|---|---|
| Medicare Enrollment ID | O20220627003213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740690460 | NPI | - | NPPES |
| 010835800 | Medicaid | FL | |
| 017606700 | Medicaid | FL |
| Provider Name | Rosanna M Garcia |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053752410 PECOS PAC ID: 5193941789 Enrollment ID: I20140716001499 |
| Provider Name | Janina E Cabrera |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174722136 PECOS PAC ID: 3678901998 Enrollment ID: I20200324003806 |
| Provider Name | Jason Anderson Polo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225799588 PECOS PAC ID: 2961894134 Enrollment ID: I20220120000574 |
| Provider Name | Gisselle C Villanueva |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306119664 PECOS PAC ID: 1355722208 Enrollment ID: I20220722002670 |
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