Organization Active NPI

Prevention Physical Therapy

  • Physical Therapist
  • Davie, FL
National Provider Identifier
1699819185
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19749 Issued in FL
Legal business name
PREVENTION PHYSICAL THERAPY
Practice address
3340 Overlook Rd
Davie, FL 33328-7144
Phone
(954) 224-2649
Fax
(954) 252-2149
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Dr. Preston Russell Olson, DPT
Title
Ceo
Phone
(954) 224-2649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT19749 FL Primary

Addresses

Primary practice location

3340 Overlook Rd
Davie, FL 33328-7144

Mailing address

3340 Overlook Rd
Davie, FL 33328-7144
Phone (954) 224-2649

Other identifiers 1

IdentifierTypeStateIssuer
888806000MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1699819185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 OVERLOOK RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333287144",
            "telephone_number": "954-224-2649",
            "fax_number": "954-252-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 OVERLOOK RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333287144",
            "telephone_number": "954-224-2649",
            "fax_number": "954-252-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-224-2649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888806000",
            "state": "FL"
        }
    ],
    "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 Sep 19, 2022; 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.