Active NPI
Advanced Health Physical Therapy Inc
- Physical Therapist
- Lauderhill, FL
National Provider Identifier
1598869612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17717
- Legal business name
- ADVANCED HEALTH PHYSICAL THERAPY INC
- Practice address
- 7796 NW 44TH St
Lauderhill, FL 33351-6204 - Phone
- (954) 353-8847
- Fax
- (954) 533-2852
- NPI assigned
- Sep 11, 2006
- Last updated
- Mar 18, 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
- Mr. Daniele B D'Ambrosio, MPT
- Title
- President
- Phone
- (954) 608-3075
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 | 17717 | FL | Primary |
| Occupational Therapist | 225X00000X | 11462 | FL | |
| Speech-Language Pathologist | 235Z00000X | 0001575 | FL |
Addresses
Primary practice location
7796 NW 44TH St
Lauderhill, FL 33351-6204
Mailing address
966 Nautilus Isle
Dania Beach, FL 33004-2356
Phone (954) 476-5928
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 889774300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7796 NW 44th St
Lauderhill, FL 33351
Phone (954) 353-8847
Practitioners & affiliated clinicians
Practitioners 4
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
- Dania Beach, FL
- NPI 1114020559
-
- Occupational Therapist
- Sunrise, FL
- NPI 1225123359
-
- Pediatric Occupational Therapist
- Sunrise, FL
- NPI 1104898030
-
- Physical Therapist
- Plantation, FL
- NPI 1740312289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552867200000",
"number": "1598869612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "966 NAUTILUS ISLE",
"city": "DANIA BEACH",
"state": "FL",
"postal_code": "330042356",
"telephone_number": "954-476-5928",
"fax_number": "954-530-7240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7796 NW 44TH ST",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333516204",
"telephone_number": "954-353-8847",
"fax_number": "954-533-2852"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED HEALTH PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-11",
"last_updated": "2019-03-18",
"status": "A",
"authorized_official_last_name": "D'AMBROSIO",
"authorized_official_first_name": "DANIELE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-608-3075",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "17717",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "11462",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "0001575",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "889774300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lauderhill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.