Healthcare Provider Details

I. General information

NPI: 1851295042
Provider Name (Legal Business Name): FAIRWAY FIT PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23344 MIRABELLA CIR N
BOCA RATON FL
33433-6147
US

IV. Provider business mailing address

101 IROQUOIS TRL
SLINGERLANDS NY
12159-9439
US

V. Phone/Fax

Practice location:
  • Phone: 518-817-5867
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. NOAH ANDREW POSKANZER
Title or Position: OWNER & FOUNDER
Credential: PT, DPT
Phone: 518-817-5867