NPIMap

Organization Active NPI

XL Physical Therapy and Sports Rehab

  • Physical Therapist
  • Ft Lauderdale, FL
National Provider Identifier
1346646148
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16359 Issued in FL
Legal business name
XL PHYSICAL THERAPY AND SPORTS REHAB
Practice address
2001 NE 48TH St
Ft Lauderdale, FL 33308-4517
Phone
(954) 347-2151
Fax
(954) 566-2409
NPI assigned
Nov 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Mr. Jack C Zatorski Jr., PT
Title
Owner/Manager
Phone
(954) 347-2151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT16359 FL Primary

Addresses

Primary practice location

2001 NE 48TH St
Ft Lauderdale, FL 33308-4517

Mailing address

2001 NE 48TH St
Ft Lauderdale, FL 33308-4517
Phone (954) 347-2151

Other identifiers 1

IdentifierTypeStateIssuer
PT16359OtherFLFLORIDA STATE LICENSE

National Provider Directory

National Provider Directory

Locations

2001 NE 48th St
Ft Lauderdale, FL 33308
Phone (954) 347-2151

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1346646148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 NE 48TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084517",
            "telephone_number": "954-347-2151",
            "fax_number": "954-566-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 NE 48TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084517",
            "telephone_number": "954-347-2151",
            "fax_number": "954-566-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XL PHYSICAL THERAPY AND SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "ZATORSKI",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "954-347-2151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT16359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE LICENSE",
            "identifier": "PT16359",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.