Modern Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MODERN PHYSICAL THERAPY

Practice address

151 NE 16TH Ave Ste 1
Fort Lauderdale, FL 33301-3882

Phone

(954) 295-1253

NPI assigned

Aug 28, 2023

Last updated

Aug 28, 2023By 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. Kelly L Blake Frances, PT, DPT

Title

Owner/Physical Therapist

Phone

(954) 295-1253

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1033994330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 NE 16TH AVE STE 1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013882",
            "telephone_number": "954-295-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 NE 16TH AVE STE 1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013882",
            "telephone_number": "954-295-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-26",
        "status": "A",
        "authorized_official_last_name": "BLAKE FRANCES",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "954-295-1253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile PVD, LLC
• Raluca Mocanu
• Kohei Mochizuki, LMHC
• Jeremiah Model, LMHC
• Peter Modera, DPT
• Modernika Unlimited Business LLC
• Briana Moe, PHARMD
• Mary Catherine Moffitt, MD
• Sumer Elsayed Mohamed, DO
• Amanda Mohammed

• Physical Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.