Organization Active NPI

Fall Prevention Home Physical Therapy Inc

  • Physical Therapist
  • Hallandale Beach, FL
National Provider Identifier
1164627899
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21430 Issued in FL
Legal business name
FALL PREVENTION HOME PHYSICAL THERAPY INC
Practice address
1000 NE 4TH CT
Hallandale Beach, FL 33009-3529
Phone
(954) 643-4493
Fax
(954) 457-8516
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Mrs. Emilia Andriescu, PTNPI 1104999507
Title
President
Phone
(954) 643-4493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 21430 FL Primary

Addresses

Primary practice location

1000 NE 4TH CT
Hallandale Beach, FL 33009-3529

Mailing address

1000 NE 4TH CT
Hallandale Beach, FL 33009-3529
Phone (954) 643-4493

Other names 1

  • Strength and Balance In Your Home Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080109000650 FL Part B Supplier - Clinic/Group Practice 3375623846 Receives reassigned benefits from 1 practitioner
Practice locations: Hallandale Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1164627899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NE 4TH CT",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093529",
            "telephone_number": "954-643-4493",
            "fax_number": "954-457-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NE 4TH CT",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093529",
            "telephone_number": "954-643-4493",
            "fax_number": "954-457-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALL PREVENTION HOME PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "ANDRIESCU",
        "authorized_official_first_name": "EMILIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-643-4493",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "21430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strength and Balance In Your Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.