Active NPI
Therapeutic Presence Inc.
- Physical Therapist
- Pembroke Pines, FL
National Provider Identifier
1356574164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24946
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Orlando Walters, D.P.T.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24946 | FL | Primary |
| Massage Therapist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Southwest Ranches, FL
- NPI 1073804894
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.