Active NPI
Lily Ader, PHYSICAL THERAPIST
- Physical Therapist
- Hallandale Beach, FL
National Provider Identifier
1346343522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17062
- Practice address
- 2500 E Hallandale Beach Blvd
Suite 611
Hallandale Beach, FL 33009-4834 - Phone
- (954) 454-2345
- Fax
- (954) 457-8242
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT17062 | FL | Primary |
Addresses
Primary practice location
2500 E Hallandale Beach Blvd
Suite 611
Hallandale Beach, FL 33009-4834
Mailing address
20335 W Country Club Dr
# 908
Aventura, FL 33180-1600
Phone (305) 343-8747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT17062 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346343522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20335 W COUNTRY CLUB DR",
"address_2": "# 908",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801600",
"telephone_number": "305-343-8747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E HALLANDALE BEACH BLVD",
"address_2": "SUITE 611",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330094834",
"telephone_number": "954-454-2345",
"fax_number": "954-457-8242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADER",
"first_name": "LILY",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT17062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.