Provider Demographics
NPI:1194003806
Name:NEXT GENERATION THERAPY, INC.
Entity Type:Organization
Organization Name:NEXT GENERATION THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OTA
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHACON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-304-9098
Mailing Address - Street 1:16969 NW 67TH AVE FL 33015
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-4214
Mailing Address - Country:US
Mailing Address - Phone:786-304-9098
Mailing Address - Fax:
Practice Address - Street 1:16969 NW 67TH AVE FL 33015
Practice Address - Street 2:SUITE 200
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-4214
Practice Address - Country:US
Practice Address - Phone:786-304-9098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-29
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty