Provider Demographics
| NPI: | 1649797408 |
|---|---|
| Name: | PRO-RESPIRATORY THERAPY INC |
| Entity type: | Organization |
| Organization Name: | PRO-RESPIRATORY THERAPY INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | ADELKIS |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | PEREIRA |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | RRT |
| Authorized Official - Phone: | 786-389-8813 |
| Mailing Address - Street 1: | 8731 SW 192ND TER |
| Mailing Address - Street 2: | |
| Mailing Address - City: | CUTLER BAY |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33157-8954 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 786-389-8813 |
| Mailing Address - Fax: | 305-723-2777 |
| Practice Address - Street 1: | 8731 SW 192ND TER |
| Practice Address - Street 2: | |
| Practice Address - City: | CUTLER BAY |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33157-8954 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 786-389-8813 |
| Practice Address - Fax: | 305-723-2777 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2017-08-23 |
| Last Update Date: | 2025-06-05 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 2279G1100X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | General Care | Group - Multi-Specialty |
| No | 2279E1000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Educational | Group - Multi-Specialty |
| No | 2279H0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Home Health | Group - Multi-Specialty |
| No | 2279P1005X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Rehabilitation | Group - Multi-Specialty |
| No | 2279P3900X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Neonatal/Pediatrics | Group - Multi-Specialty |
| No | 227900000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| FL | 021386500 | Medicaid |
