Organization Active NPI

She Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Davie, FL
National Provider Identifier
1649894155
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SHE PHYSICAL THERAPY, LLC
Practice address
14702 Vista Luna Dr
Davie, FL 33325-6926
Phone
(954) 914-3044
NPI assigned
May 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Dr. Lauren Dela Cruz, PTNPI 1295080026
Title
Physical Therapist
Phone
(954) 914-3044

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

14702 Vista Luna Dr
Davie, FL 33325-6926

Mailing address

5220 S University Dr # C209
Davie, FL 33328-5317
Phone (954) 406-8998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200922000044 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2163840273 Receives reassigned benefits from 4 practitioners
Practice locations: Davie, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1649894155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 S UNIVERSITY DR # C209",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285317",
            "telephone_number": "954-406-8998",
            "fax_number": "754-900-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14702 VISTA LUNA DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333256926",
            "telephone_number": "954-914-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-31",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "954-914-3044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.

Verify at the official NPI Registry.