Logistics Therapy of Broward

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LOGISTICS THERAPY OF BROWARD

Practice address

1852 N University Dr
Plantation, FL 33322-4117

Phone

(954) 577-3003

Fax

(954) 577-3005

NPI assigned

Jul 28, 2006

Last updated

May 2, 2008By 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

Gabriel Grullon

Title

President

Phone

(954) 577-3003

Specialties & licenses 1

Addresses

Tax ID family

Logistics Therapy of Broward2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Logistics Therapy of Broward

  • Health Service Clinic/Center
  • Plantation, FL
  • NPI 1770501264
  NPD tax ID

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1356355101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 N UNIVERSITY DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224117",
            "telephone_number": "954-577-3003",
            "fax_number": "954-577-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 N UNIVERSITY DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224117",
            "telephone_number": "954-577-3003",
            "fax_number": "954-577-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGISTICS THERAPY OF BROWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "GRULLON",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-577-3003"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leandro Andres Llerena Cabrera, MD
• Lloyd Maliner, MD PA
• Bryanna Locascio, APRN
• Natalie Lodes, BCBA
• Jessica Loeb
• Logistics Therapy of Broward
• Shareen Lohse, PA-C
• Lois E. Natochy Rehab, Inc.
• Carolyn M Lomicka, ARNP
• Gaia Longhi, CFNC

• Physical Therapy Clinic/Center in Plantation, FL
• Providers in Plantation, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.