Provider Demographics
NPI:1437489481
Name:AMERICAN GROUP REHABILITATION INC.
Entity Type:Organization
Organization Name:AMERICAN GROUP REHABILITATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YUSNIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARIN
Authorized Official - Suffix:SR
Authorized Official - Credentials:LMT
Authorized Official - Phone:305-418-2385
Mailing Address - Street 1:10305 NW 41ST ST STE 107
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2975
Mailing Address - Country:US
Mailing Address - Phone:305-418-2385
Mailing Address - Fax:305-418-1888
Practice Address - Street 1:10305 NW 41ST ST STE 107
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-2975
Practice Address - Country:US
Practice Address - Phone:305-418-2385
Practice Address - Fax:305-418-1888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-13
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT16139225100000X
225100000X, 225X00000X, 2278P1005X, 235Z00000X
FLPTA25419225200000X
FLMA46357225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No2278P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary RehabilitationGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013892400Medicaid
FL014893800Medicaid
FLIJ567AMedicare PIN