Organization Active NPI

West Sunrise Physical Therapy, Inc.

  • Health Service Clinic/Center
  • Plantation, FL
National Provider Identifier
1972541019
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
HCC5365 Issued in FL
Legal business name
WEST SUNRISE PHYSICAL THERAPY, INC.
Practice address
5975 W Sunrise Blvd
Suite 104
Plantation, FL 33313-6800
Phone
(954) 581-4776
Fax
(954) 581-4777
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bradley Mester
Title
President
Phone
(954) 581-4776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HCC5365 FL Primary

Addresses

Primary practice location

5975 W Sunrise Blvd
Suite 104
Plantation, FL 33313-6800

Mailing address

5975 W Sunrise Blvd
Suite 104
Plantation, FL 33313-6800
Phone (954) 581-4776

National Provider Directory

National Provider Directory

Locations

5975 W Sunrise Blvd
Ste 104
Plantation, FL 33313
Phone (954) 581-4776

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972541019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 W SUNRISE BLVD",
            "address_2": "SUITE 104",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333136800",
            "telephone_number": "954-581-4776",
            "fax_number": "954-581-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 W SUNRISE BLVD",
            "address_2": "SUITE 104",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333136800",
            "telephone_number": "954-581-4776",
            "fax_number": "954-581-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUNRISE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MESTER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-581-4776",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC5365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.