Physical Therapy Group of Florida, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL THERAPY GROUP OF FLORIDA, LLC

Practice address

2430 E Commercial Blvd # B
Fort Lauderdale, FL 33308-4040

Phone

(954) 491-2021

Fax

(954) 622-9791

NPI assigned

Jun 23, 2009

Organization subpart

No

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

Authorized official

Name

Richard D. Serianni, DPTNPI 1508975186

Title

Managing Partner/Physical Therapist

Phone

(954) 491-2021

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Physical Therapy Group of Florida2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Physical Therapy Group of Florida, LLC

  • Physical Therapy Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1548659493
  NPD tax ID

Locations

Practitioners 6

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.

• Christan Alvarez, PT, DPT

  • Physical Therapist
  • Davie, FL
  • NPI 1851905335
  Medicare reassignment Care Compare group NPD
• Angela Brumwell, DPT

  • Physical Therapist
  • Plantation, FL
  • NPI 1598205536
  Medicare reassignment Care Compare group NPD
• Anthony John Bullen, PT

  • Physical Therapist
  • Belle Glade, FL
  • NPI 1427061159
  Medicare reassignment Care Compare group NPD
• Kelly Ann Graham, OT

  • Occupational Therapist
  • Pompano Beach, FL
  • NPI 1649446774
  Medicare reassignment NPD
• Michael Veloz, DPT

  • Physical Therapist
  • Riverside, CA
  • NPI 1265103410

  FL

  Medicare reassignment NPD
• Richard Dominick Serianni, DPT

  • Physical Therapist
  • Fort Lauderdale, FL
  • NPI 1508975186
  Authorized official Same address or phone

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1902034598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 E COMMERCIAL BLVD # B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084040",
            "telephone_number": "954-491-2021",
            "fax_number": "954-622-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 E COMMERCIAL BLVD # B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084040",
            "telephone_number": "954-491-2021",
            "fax_number": "954-622-9791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330716623",
            "country_code": "US",
            "telephone_number": "754-309-9194",
            "fax_number": "954-622-8781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICAL THERAPY GROUP OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "SERIANNI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGING PARTNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "954-491-2021",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB895A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.