Hollywood PT Associates, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

HOLLYWOOD PT ASSOCIATES, INC.

Practice address

2303 Hollywood Blvd
Hollywood, FL 33020-6711

Phone

(954) 560-1064

NPI assigned

Feb 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Alberto Antonio Fuentes II, P.T.

Title

Vice President

Phone

(954) 560-1064

Specialties & licenses 1

Addresses

Other names 1

• Performance Rehab Former legal business name

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144356296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206711",
            "telephone_number": "954-560-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206711",
            "telephone_number": "954-560-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD PT ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-560-1064",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Rehab",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hollywood Paradise Residence Inc
• Hollywood Pavilion LLC
• Hollywood Pediatrics, P.a.
• Hollywood Perfect Smile PA
• Hollywood Psychology Center Inc.
• Hollywood Regional Opco
• Hollywood Sa Tenant Opco, LLC
• Hollywood Surgical Center LLC
• Hollywood Surgical Center, LLC
• Hollywood-Coral Springs Podiatry

• Physical Therapy Clinic/Center in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.