Physical Therapy for Healthy Living

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT11478 Issued in FL

Legal business name

PHYSICAL THERAPY FOR HEALTHY LIVING

Practice address

19233 NW 13TH St
Pembroke Pines, FL 33029-4510

Phone

(954) 651-5773

Fax

(954) 538-1973

NPI assigned

Jan 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Socorro Casimiro Jandayan, RPT

Title

President

Phone

(954) 651-5773

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1437207644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19233 NW 13TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330294510",
            "telephone_number": "954-651-5773",
            "fax_number": "954-538-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19233 NW 13TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330294510",
            "telephone_number": "954-651-5773",
            "fax_number": "954-538-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY FOR HEALTHY LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-07",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "JANDAYAN",
        "authorized_official_first_name": "MARIA SOCORRO",
        "authorized_official_middle_name": "CASIMIRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-651-5773",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT11478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.