Active NPI
Rebecca Wasylow
- Physical Therapist
- Weston, FL
National Provider Identifier
1043933005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT39059
- Practice address
- 4543 Weston Rd
Weston, FL 33331-3140 - Phone
- (954) 233-0745
- NPI assigned
- Sep 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT39059 | FL | Primary |
Addresses
Primary practice location
4543 Weston Rd
Weston, FL 33331-3140
Mailing address
1115 E Sunrise Blvd
Fort Lauderdale, FL 33304-2809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1043933005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 E SUNRISE BLVD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333042809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4543 WESTON RD",
"city": "WESTON",
"state": "FL",
"postal_code": "333313140",
"telephone_number": "954-233-0745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASYLOW",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-23",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT39059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.