Healthcare Provider Details

I. General information

NPI: 1053447508
Provider Name (Legal Business Name): WOMENS PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 09/02/2020
Certification Date: 09/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9250 GLADES RD STE 106
BOCA RATON FL
33434-3958
US

IV. Provider business mailing address

5045 POINTE EMERALD LN
BOCA RATON FL
33486
US

V. Phone/Fax

Practice location:
  • Phone: 561-482-4300
  • Fax: 561-482-8855
Mailing address:
  • Phone: 561-395-3609
  • Fax: 561-482-8855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License NumberPT 12771
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. DORI F BARENHOLTZ
Title or Position: PRESIDENT
Credential: PT
Phone: 561-482-4300