Active NPI
Physical Therapy Corp
- Home Health Agency
- Miramar, FL
National Provider Identifier
1538723069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PHYSICAL THERAPY CORP
- Practice address
- 13178 SW 30TH St
Miramar, FL 33027-3838 - Phone
- (954) 800-0186
- NPI assigned
- Apr 30, 2019
- Last updated
- Apr 30, 2019
- 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
- Dr. Kenneth Lee, PT
- Title
- President/Ceo
- Phone
- (954) 647-8105
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary | |
| Physical Therapy Clinic/Center | 261QP2000X | NU |
Addresses
Primary practice location
13178 SW 30TH St
Miramar, FL 33027-3838
Mailing address
13178 SW 30TH St
Miramar, FL 33027-3838
Phone (954) 800-0186
Other names 1
- Kenneth Lee
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, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Miramar, FL
- NPI 1730660531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556582400000",
"number": "1538723069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13178 SW 30TH ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330273838",
"telephone_number": "954-800-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13178 SW 30TH ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330273838",
"telephone_number": "954-800-0186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL THERAPY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-30",
"last_updated": "2019-04-30",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "954-647-8105",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kenneth Lee",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Miramar, FL
- Tamika Phillips
- John Tassy Philord, ARNP, NP-C
- Phoenix Clinic Inc of Broward
- Physical Medicine and Rehabilitation of S.E. Florida Inc
- Physical Therapy Assoc of Miramar
- Physical Therapy Solutions of South Florida Inc.
- Physician Care Network, LLC
- Physicians at Home
- Physicians Mso Inc
- Roberto Valentin Pichardo, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.