Coral Springs Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24800 Issued in FL

Legal business name

CORAL SPRINGS PHYSICAL THERAPY LLC

Practice address

10018 N Springs Way
Coral Springs, FL 33076-2466

Phone

(954) 258-0529

NPI assigned

Sep 9, 2016

Last updated

Sep 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rafael GutierrezNPI 1063960359

Title

Owner

Phone

(954) 258-0529

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, and the practitioner matching its NPPES authorized official.

• Rafael Gutierrez

  • Physical Therapist
  • Coral Springs, FL
  • NPI 1063960359
  Authorized official Same address or phone

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1295282002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10018 N SPRINGS WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762466",
            "telephone_number": "954-258-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10018 N SPRINGS WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762466",
            "telephone_number": "954-258-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL SPRINGS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-258-0529"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coral Springs Modern Dentistry, PA
• Coral Springs Ophthalmology Associates PA (Coral Springs Eye Institute)
• Coral Springs Ophthalmology, PA
• Coral Springs Pediatric & Adult Psychiatry, Inc.
• Coral Springs Physical Medicine, Inc.
• Coral Springs Physician Associates Inc
• Coral Springs Physician Services, LLC
• Coral Springs Smiles PA
• Coral Springs Smiles, PA
• Coral Springs Speech and Language Center, Inc.

• Physical Therapist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.