Organization Active NPI

Intentional Connections LLC

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1407673288
Registry record updated Jan 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
INTENTIONAL CONNECTIONS LLC
Practice address
1451 W Cypress Creek Rd Ste 337
Fort Lauderdale, FL 33309-1961
Phone
(954) 300-5155
NPI assigned
Sep 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2025

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

Authorized official

Name
Luan Menda Cocking, DPT
Title
Physical Therapist / MFR Specialist
Phone
(954) 300-5155

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1451 W Cypress Creek Rd Ste 337
Fort Lauderdale, FL 33309-1961

Mailing address

1451 W Cypress Creek Rd Ste 300
Ft Lauderdale, FL 33309-1953
Phone (954) 300-5155

National Provider Directory

National Provider Directory

Locations

4400 W Sample Rd
Coconut Creek, FL 33073

1451 W Cypress Creek Rd
Ste 356C
Fort Lauderdale, FL 33309

1451 W Cypress Creek Rd
Ste 337
Fort Lauderdale, FL 33309
Phone (954) 300-5155

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736640000000",
    "number": "1407673288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 W CYPRESS CREEK RD STE 300",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091953",
            "telephone_number": "954-300-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 W CYPRESS CREEK RD STE 337",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091961",
            "telephone_number": "954-300-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL CONNECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A",
        "authorized_official_last_name": "MENDA COCKING",
        "authorized_official_first_name": "LUAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / MFR SPECIALIST",
        "authorized_official_telephone_number": "954-300-5155",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-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 Jan 12, 2025; 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.