Organization Active NPI

Fletcher Physical Therapy Inc

  • Physical Therapist
  • Hollywood, FL
National Provider Identifier
1295884096
Registry record updated Mar 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5458 Issued in FL
Legal business name
FLETCHER PHYSICAL THERAPY INC
Practice address
824 S 14TH Ave
Hollywood, FL 33020-6156
Phone
(954) 628-2215
Fax
(954) 927-7931
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2009

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

Authorized official

Name
Thomas Patrick Fletcher, PT
Title
Owner
Phone
(954) 628-2215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT5458 FL Primary

Addresses

Primary practice location

824 S 14TH Ave
Hollywood, FL 33020-6156

Mailing address

824 S 14TH Ave
Hollywood, FL 33020-6156
Phone (954) 628-2215

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238198400000",
    "number": "1295884096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 S 14TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206156",
            "telephone_number": "954-628-2215",
            "fax_number": "954-927-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 S 14TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206156",
            "telephone_number": "954-628-2215",
            "fax_number": "954-927-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLETCHER PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-03-28",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-628-2215",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT5458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2009; 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.