Organization Active NPI

Physical Therapy Institute and Aquatic Rehab, Inc

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1073864609
Registry record updated Mar 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Mar 16, 2013

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.