NPIMap

Organization Active NPI

Physical Therapy and Rehabilitation Associates Inc.

  • Physical Therapist
  • Plantation, FL
National Provider Identifier
1336218353
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19361 Issued in FL
Legal business name
PHYSICAL THERAPY AND REHABILITATION ASSOCIATES INC.
Practice address
141 SW 94TH Ter
Plantation, FL 33324-2431
Phone
(954) 701-0528
Fax
(954) 756-7532
NPI assigned
Nov 6, 2006
Last updated
Jun 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Anthony J Bullen, MSPTNPI 1427061159
Title
Owner-Physical Therapist
Phone
(954) 701-0528

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 Therapist 225100000X PT19361 FL Primary

Addresses

Primary practice location

141 SW 94TH Ter
Plantation, FL 33324-2431

Mailing address

141 SW 94TH Ter
Plantation, FL 33324-2431
Phone (954) 701-0528

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1336218353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SW 94TH TER",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242431",
            "telephone_number": "954-701-0528",
            "fax_number": "954-473-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SW 94TH TER",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242431",
            "telephone_number": "954-701-0528",
            "fax_number": "954-756-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY AND REHABILITATION ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "BULLEN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER-PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "954-701-0528",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.