MEDICARE: FLEUR PHYSICAL THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1013867670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLEUR PHYSICAL THERAPY, LLC

Provider Business Mailing Address
First Line	:	2563 KERN ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19125-1711
Country	:	US
Telephone Number	:	267-574-5727
Fax Number	:

Provider Business Practice Location Address
First Line	:	2563 KERN ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19125-1711
Country	:	US
Telephone Number	:	267-574-5729
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	KIMBERLY LE
Credential	:	DPT
Telephone Number	:	267-574-5729

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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