NPIMap

Organization Active NPI

XL Physical Therapy & Sports Rehab Inc

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1710217153
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
XL PHYSICAL THERAPY & SPORTS REHAB INC
Practice address
4022 N Ocean Blvd
Fort Lauderdale, FL 33308-6420
Phone
(954) 347-2151
NPI assigned
Jan 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Mr. Jack Zatorski, PT
Title
Owner
Phone
(954) 347-2151

Specialties & licenses 1

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

Addresses

Primary practice location

4022 N Ocean Blvd
Fort Lauderdale, FL 33308-6420

Mailing address

4022 N. Ocean Blvd
Fort Lauderdale, FL 33308
Phone (954) 347-2151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100830001092 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0244366870 Receives reassigned benefits from 8 practitioners
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

4022 N Ocean Blvd
Ft Lauderdale, FL 33308
Phone (954) 547-2151

Practitioners & affiliated clinicians

Practitioners 8

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": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1710217153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 N. OCEAN BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-347-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 N OCEAN BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086420",
            "telephone_number": "954-347-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XL PHYSICAL THERAPY & SPORTS REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "ZATORSKI",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-347-2151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.