On the Go, Home Physical Therapy Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

PT20047 Issued in FL

Legal business name

ON THE GO, HOME PHYSICAL THERAPY SERVICES, LLC

Practice address

4331 SW 73Rd Ter
Davie, FL 33314-3030

Phone

(954) 445-4737

NPI assigned

Dec 1, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Irina Detata, PTNPI 1811095011

Title

Physical Therapist

Phone

(954) 445-4745

Specialties & licenses 1

Addresses

Practitioners 1

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

• Irina Detata, RPT

  • Physical Therapist
  • Davie, FL
  • NPI 1811095011
  NPD (past) Authorized official

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1164965679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292711",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333292711",
            "telephone_number": "954-445-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 SW 73RD TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143030",
            "telephone_number": "954-445-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON THE GO, HOME PHYSICAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "DETATA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "954-445-4745",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "PT20047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Oliveros
• Shamika Ollie
• Preston Russell Olson, DPT
• Oms Associates, PA
• On Par Physical Therapy LLC
• On-Call Medicine LLC
• One Beat CPR and Learning Center Inc
• Only Way Med Inc
• Melody Angelica Ontivero
• Onward Speech and Language Therapy

• Home Health Agency in Davie, FL
• Providers in Davie, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.