Prime PT Services, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PTA16340 Issued in FL

Legal business name

PRIME PT SERVICES, INC

Practice address

2331 N State Road 7
Suite 118
Lauderdale Lakes, FL 33313-3748

Phone

(954) 535-7676

Fax

(954) 535-2909

NPI assigned

Feb 9, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Cyril Philip Chorath

Title

Administrator

Phone

(954) 535-7676

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1144768193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 N STATE ROAD 7",
            "address_2": "SUITE 118",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333133748",
            "telephone_number": "954-535-7676",
            "fax_number": "954-535-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 N STATE ROAD 7",
            "address_2": "SUITE 118",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333133748",
            "telephone_number": "954-535-7676",
            "fax_number": "954-535-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "CHORATH",
        "authorized_official_first_name": "CYRIL",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-535-7676",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PTA16340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, 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 Feb 9, 2017; 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.