Pac PT LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PAC PT LLC

Practice address

21839 High Pine TRL
Boca Raton, FL 33428-3049

Phone

(561) 891-6911

NPI assigned

Jul 3, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Tatiana Pes, PT

Title

Physical Therapist/Clinic Director

Phone

(561) 891-6911

Specialties & licenses 1

Addresses

Other names 1

• PAC PHYSICAL THERAPY Doing business as

Locations

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1629695846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21839 HIGH PINE TRL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283049",
            "telephone_number": "561-891-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21839 HIGH PINE TRL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283049",
            "telephone_number": "561-891-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAC PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "PES",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "561-891-6911",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAC PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapy Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.