Healthcare Provider Details

I. General information

NPI: 1750218608
Provider Name (Legal Business Name): RAQUEL MOREIRA TEIXEIRA PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

3551 S FEDERAL HWY APT D
BOYNTON BEACH FL
33435-8693
US

IV. Provider business mailing address

3551 S FEDERAL HWY APT D
BOYNTON BEACH FL
33435-8693
US

V. Phone/Fax

Practice location:
  • Phone: 954-461-9921
  • Fax:
Mailing address:
  • Phone: 954-461-9921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT40537
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: