Healthcare Provider Details

I. General information

NPI: 1265362263
Provider Name (Legal Business Name): AMANDA FUTTERMAN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9960 CENTRAL PARK BLVD N STE 400
BOCA RATON FL
33428-1705
US

IV. Provider business mailing address

21707 JUEGO CIR
BOCA RATON FL
33433-2004
US

V. Phone/Fax

Practice location:
  • Phone: 561-470-5437
  • Fax:
Mailing address:
  • Phone: 954-465-8547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: