Active NPI
Personal PT LLC
- Physical Therapy Assistant
- Hollywood, FL
National Provider Identifier
1720940604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Legal business name
- PERSONAL PT LLC
- Practice address
- 4923 McKinley St
Hollywood, FL 33021-4752 - Phone
- (954) 994-8465
- NPI assigned
- Nov 28, 2025
- 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
- Zachary C Kirshbaum, PTA
- Title
- Manager
- Phone
- (954) 994-8465
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 | |||
| Geriatric Physical Therapist | 2251G0304X | |||
| Physical Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
4923 McKinley St
Hollywood, FL 33021-4752
Mailing address
4923 McKinley St
Hollywood, FL 33021-4752
Phone (954) 994-8465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260501001714 | FL | Part B Supplier - Clinic/Group Practice | 6608344221 | Practice locations: Hollywood, FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapy Assistant
- Hollywood, FL
- NPI 1760333439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770422400000",
"number": "1720940604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4923 MCKINLEY ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330214752",
"telephone_number": "954-994-8465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4923 MCKINLEY ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330214752",
"telephone_number": "954-994-8465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSONAL PT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-28",
"last_updated": "2026-02-07",
"certification_date": "2026-02-07",
"status": "A",
"authorized_official_last_name": "KIRSHBAUM",
"authorized_official_first_name": "ZACHARY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "954-994-8465",
"authorized_official_credential": "PTA"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2026; 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.