Organization Active NPI

Therapeutic Presence Inc.

  • Physical Therapist
  • Pembroke Pines, FL
National Provider Identifier
1356574164
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24946 Issued in FL
Legal business name
THERAPEUTIC PRESENCE INC.
Practice address
11270 Pines Blvd
Pembroke Pines, FL 33026-4101
Phone
(954) 441-7246
Fax
(954) 441-7241
NPI assigned
Aug 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Authorized official

Name
Orlando Walters, D.P.T.NPI 1073804894
Title
Senior Physical Therapist
Phone
(954) 648-3977

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 24946 FL Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 43135 FL
Home Health Agency 251E00000X 24946 FL

Addresses

Primary practice location

11270 Pines Blvd
Pembroke Pines, FL 33026-4101

Mailing address

12355 NW 11TH CT
Pembroke Pines, FL 33026-4385
Phone (954) 648-3977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231213001394 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9436337805 Receives reassigned benefits from 1 practitioner
Practice locations: Pembroke Pines, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1356574164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12355 NW 11TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264385",
            "telephone_number": "954-648-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11270 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264101",
            "telephone_number": "954-441-7246",
            "fax_number": "954-441-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC PRESENCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "SENIOR PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "954-648-3977",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "24946",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "43135",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "24946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.