Provider Demographics
NPI:1932457157
Name:HEALING TOUCH REHABILITATION INC
Entity Type:Organization
Organization Name:HEALING TOUCH REHABILITATION INC
Other - Org Name:SOUTH MIAMI PHYSICAL THERAPY & PILATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GUST
Authorized Official - Suffix:
Authorized Official - Credentials:BSPT
Authorized Official - Phone:305-661-1612
Mailing Address - Street 1:9028 SW 152ND ST
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1928
Mailing Address - Country:US
Mailing Address - Phone:305-661-1612
Mailing Address - Fax:305-661-1613
Practice Address - Street 1:9028 SW 152ND ST
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1928
Practice Address - Country:US
Practice Address - Phone:305-661-1612
Practice Address - Fax:305-661-1613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-20
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY7226Medicare PIN