Organization Active NPI

Eternity Physical Therapeutics

  • Physical Medicine & Rehabilitation Physician
  • Hollywood, FL
National Provider Identifier
1790445088
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ETERNITY PHYSICAL THERAPEUTICS
Practice address
3505 S Ocean Dr Apt 507
Hollywood, FL 33019-2813
Phone
(212) 785-1651
NPI assigned
Dec 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Dr. Darlenzy Darbouze, DPTNPI 1770800880
Title
Director
Phone
(917) 977-1550

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 Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

3505 S Ocean Dr Apt 507
Hollywood, FL 33019-2813

Mailing address

6951 SW 57TH St
Davie, FL 33314-7000
Phone (917) 977-1550

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": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1790445088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6951 SW 57TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333147000",
            "telephone_number": "917-977-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 S OCEAN DR APT 507",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192813",
            "telephone_number": "212-785-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNITY PHYSICAL THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "DARBOUZE",
        "authorized_official_first_name": "DARLENZY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-977-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "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 Dec 28, 2021; 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.