Physical Therapy Institute and Aquatic Rehab, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL THERAPY INSTITUTE AND AQUATIC REHAB, INC.

Practice address

6067 Hollywood Blvd Ste 201
Hollywood, FL 33024-7922

Phone

(561) 791-9090

Fax

(561) 791-9071

NPI assigned

Jun 2, 2012

Last updated

Sep 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Papa, D.C.

Title

Ceo

Phone

(561) 801-2535

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1013278407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PONCE DE LEON ST",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111213",
            "telephone_number": "561-236-3741",
            "fax_number": "561-630-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6067 HOLLYWOOD BLVD STE 201",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247922",
            "telephone_number": "561-791-9090",
            "fax_number": "561-791-9071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Hollywood Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330216797",
            "country_code": "US",
            "telephone_number": "954-866-9693",
            "fax_number": "954-301-3975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICAL THERAPY INSTITUTE AND AQUATIC REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-02",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "PAPA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-801-2535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barnell Phillips III, M.D.
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• Jacqueline Yevette Phillips
• Jonathan Phillips, PHARMD
• Kaitlyn Kristi Phipps
• Physician Associates of Broward Inc
• Physician Partnership Alliance LLC
• Physician Partnership Alliance LLC
• Physician's Institute of Cosmetic and Reconstructive Surgery
• Physicians Creek Inc

• Physical Therapist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.