MEDICARE: A PLUS REHABILITATION AND FITNESS

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	:	1659043982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PLUS REHABILITATION AND FITNESS

Provider Business Mailing Address
First Line	:	819 NW 79TH TER
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-1453
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3038 N FEDERAL HWY STE C
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33306-1436
Country	:	US
Telephone Number	:	954-856-4630
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ASHLEY WILSON
Credential	:	PT, DPT
Telephone Number	:	954-856-4630

Provider Enumeration Date	:	10/05/2021
Last Update Date	:	10/05/2021

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