NPIMap

Organization Active NPI

Physical Therapy and Rehabilitation Associates Inc.

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1962572917
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19361 Issued in FL
Legal business name
PHYSICAL THERAPY AND REHABILITATION ASSOCIATES INC.
Practice address
900 River Reach Dr Apt 110
Fort Lauderdale, FL 33315-1164
Phone
(954) 701-0528
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Anthony J Bullen, MSPT
Title
Owner-Physical Therapist
Phone
(954) 701-0528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT19361 FL Primary

Addresses

Primary practice location

900 River Reach Dr Apt 110
Fort Lauderdale, FL 33315-1164

Mailing address

900 River Reach Dr Apt 110
Fort Lauderdale, FL 33315-1164
Phone (954) 701-0528

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1962572917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RIVER REACH DR APT 110",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151164",
            "telephone_number": "954-701-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RIVER REACH DR APT 110",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151164",
            "telephone_number": "954-701-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY AND REHABILITATION ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "BULLEN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER-PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "954-701-0528",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jun 22, 2009; 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.