Organization Active NPI

Phoenix Therapy Services FL LLC

  • Physical Therapy Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1891467981
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHOENIX THERAPY SERVICES FL LLC
Practice address
2630 W Broward Blvd # 203-1265
Fort Lauderdale, FL 33312-1314
Phone
(954) 826-3496
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Chaz Imairi AbramsNPI 1609340926
Title
Ceo
Phone
(954) 826-3496

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2630 W Broward Blvd # 203-1265
Fort Lauderdale, FL 33312-1314

Mailing address

2630 W Broward Blvd # 203-1265
Fort Lauderdale, FL 33312-1314
Phone (954) 826-3496

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chaz.abrams@phoenixtherapyservicesfl.com Direct

National Provider Directory

National Provider Directory

Locations

2630 W Broward Blvd
Fort Lauderdale, FL 33312
Phone (954) 826-3496

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1891467981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 W BROWARD BLVD # 203-1265",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121314",
            "telephone_number": "954-826-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 W BROWARD BLVD # 203-1265",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121314",
            "telephone_number": "954-826-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX THERAPY SERVICES FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "CHAZ",
        "authorized_official_middle_name": "IMAIRI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-826-3496"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chaz.abrams@phoenixtherapyservicesfl.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "2630 W Broward Blvd # 203-1265",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333121314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 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.