Organization Active NPI

Broward County Physical Therapy, Inc

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1396372991
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BROWARD COUNTY PHYSICAL THERAPY, INC
Practice address
4750 N Federal Hwy Ste 203
Fort Lauderdale, FL 33308-4609
Phone
(954) 202-9009
Fax
(954) 776-9953
NPI assigned
Mar 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Authorized official

Name
Paul Goodkin, DC
Title
Owner
Phone
(954) 202-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4750 N Federal Hwy Ste 203
Fort Lauderdale, FL 33308-4609

Mailing address

4750 N Federal Hwy Ste 203
Fort Lauderdale, FL 33308-4609
Phone (954) 202-9009

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1396372991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 N FEDERAL HWY STE 203",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084609",
            "telephone_number": "954-202-9009",
            "fax_number": "954-776-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 N FEDERAL HWY STE 203",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084609",
            "telephone_number": "954-202-9009",
            "fax_number": "954-776-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD COUNTY PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "GOODKIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-202-9009",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.