Organization Active NPI

Physical Therapy Plus by the Sea LLC

  • Physical Therapist
  • Lauderdale by the Sea, FL
National Provider Identifier
1003126269
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTA19828 Issued in FL
Legal business name
PHYSICAL THERAPY PLUS BY THE SEA LLC
Practice address
4747 N Ocean Dr Ste 261
Lauderdale by the Sea, FL 33308-2956
Phone
(954) 545-4922
Fax
(954) 545-4923
NPI assigned
Oct 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Clinton D Erasmus, PTANPI 1518267541
Title
Owner
Phone
(954) 545-4922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PTA19828 FL Primary

Addresses

Primary practice location

4747 N Ocean Dr Ste 261
Lauderdale by the Sea, FL 33308-2956

Mailing address

4747 N Ocean Dr Ste 261
Lauderdale by the Sea, FL 33308-2956
Phone (954) 545-4922

Other identifiers 3

IdentifierTypeStateIssuer
PT42863OtherFLPT
PTA19828OtherFLLICENSE
PT 17504OtherFLPT FL LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110316000875 FL Part B Supplier - Clinic/Group Practice 0749462497 Receives reassigned benefits from 3 practitioners
Practice locations: Lauderdale by the Sea, FL

National Provider Directory

National Provider Directory

Locations

4747 N Ocean Dr
Ste 261
Lauderdale by the Sea, FL 33308
Phone (954) 545-4922

4747 N Ocean Dr
Lauderdale by the Sea, FL 33308

4737 N Ocean Dr
Ste 201
Lauderdale by the Sea, FL 33308

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1003126269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 N OCEAN DR STE 261",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333082956",
            "telephone_number": "954-545-4922",
            "fax_number": "954-545-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 N OCEAN DR STE 261",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333082956",
            "telephone_number": "954-545-4922",
            "fax_number": "954-545-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY PLUS BY THE SEA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "ERASMUS",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-545-4922",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTA19828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT",
            "identifier": "PT42863",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PTA19828",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT FL LICENSURE",
            "identifier": "PT 17504",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale by the Sea, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.