Organization Active NPI

Personal PT LLC

  • Physical Therapy Assistant
  • Hollywood, FL
National Provider Identifier
1720940604
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
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

Updated by the provider on Feb 7, 2026

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

Authorized official

Name
Zachary C Kirshbaum, PTANPI 1760333439
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20260501001714 FL Part B Supplier - Clinic/Group Practice 6608344221 Practice locations: Hollywood, FL

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": "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.

Verify at the official NPI Registry.