Active NPI
Physical Therapy Institute and Aquatic Rehab, Inc
- Physical Therapist
- Fort Lauderdale, FL
National Provider Identifier
1073864609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PHYSICAL THERAPY INSTITUTE AND AQUATIC REHAB, INC
- Practice address
- 1815 E Commercial Blvd
Suite 105
Fort Lauderdale, FL 33308-3760 - Phone
- (954) 446-9178
- Fax
- (954) 707-6302
- NPI assigned
- Sep 22, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Papa, CEO
- Title
- D.C.
- Phone
- (561) 801-2535
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1815 E Commercial Blvd
Suite 105
Fort Lauderdale, FL 33308-3760
Mailing address
4971 Le Chalet Blvd
Suite 100
Boynton Beach, FL 33436-1418
Phone (561) 236-3741
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363392000000",
"number": "1073864609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4971 LE CHALET BLVD",
"address_2": "SUITE 100",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334361418",
"telephone_number": "561-236-3741",
"fax_number": "561-740-0714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 E COMMERCIAL BLVD",
"address_2": "SUITE 105",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333083760",
"telephone_number": "954-446-9178",
"fax_number": "954-707-6302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL THERAPY INSTITUTE AND AQUATIC REHAB, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-22",
"last_updated": "2013-03-16",
"status": "A",
"authorized_official_last_name": "PAPA",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "D.C.",
"authorized_official_telephone_number": "561-801-2535",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
- Phoenix Therapy Services FL LLC
- Physical Therapy and Rehabilitation Associates Inc.
- Physical Therapy Group of Florida, LLC
- Physical Therapy Group of Florida, LLC
- Physical Therapy Institute and Aquatic Rehab Inc.
- Physician House Calls LLC
- Physicians Group Plus, LLC.
- Physicians Outpatient Surgery Center LLC
- Physicians Outpatient Surgery Center LLC
- Vincent Pianelli, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.