MEDICARE: MAJOR PHYSICAL THERAPY INC

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	:	1689831893
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAJOR PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	15770 VIANA WINDS PT
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-9750
Country	:	US
Telephone Number	:	561-843-7780
Fax Number	:	561-637-1095

Provider Business Practice Location Address
First Line	:	4895 WINDWARD PASSAGE DR #3
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-7741
Country	:	US
Telephone Number	:	561-736-9899
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MARC HECKER
Credential	:	PT
Telephone Number	:	561-843-7780

Provider Enumeration Date	:	05/16/2008
Last Update Date	:	05/16/2008

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