Suzanne M Aberdale, PT
Individual provider Active NPI Physical Therapist · Coconut Creek, FL
NPI 1104092808 · NPPES record last updated Mar 24, 2011
Key facts
- NPI
- 1104092808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT13790 (FL)
- Practice address
- 6501 Flamingo LN
Coconut Creek, FL 33073-4518 - Phone
- (954) 616-7544
- NPI assigned
- May 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT13790 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy of New York, P.C. | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT13790 | FL | Yes |
Addresses
Primary practice location
6501 Flamingo LN
Coconut Creek, FL 33073-4518
Mailing address
6501 Flamingo LN
Coconut Creek, FL 33073-4518
Phone (954) 616-7544
Other providers in Coconut Creek, FL
- A Better Life Therapy LLC
- A.L.L.Y Counseling, LLC
- A&B Pediatric Dentists LLC
- A&R Dental House
- Marissa Abbondanzio
- Acorn and Oak Inc
- Minerva Acosta
- Anna Acton
- Diana Adams
- David Warren Adelman
All providers in Coconut Creek, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.