MEDICARE: NAMY 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1578328910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAMY PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	810 PIONEER WAY
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-6243
Country	:	US
Telephone Number	:	678-575-5487
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 PIONEER WAY
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-6243
Country	:	US
Telephone Number	:	678-575-5487
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	NAMYATA PATEL
Credential	:	PT
Telephone Number	:	678-575-5487

Provider Enumeration Date	:	02/15/2024
Last Update Date	:	02/15/2024

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Directions to “NAMY PHYSICAL THERAPY LLC ” Practice Location

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