Healthcare Provider Details

I. General information

NPI: 1568699247
Provider Name (Legal Business Name): CHOMSKY THERAPY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2009
Last Update Date: 08/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6609 W WOOLBRIGHT RD STE 420
BOYNTON BEACH FL
33437
US

IV. Provider business mailing address

6609 W WOOLBRIGHT RD STE 420
BOYNTON BEACH FL
33437-0917
US

V. Phone/Fax

Practice location:
  • Phone: 561-200-4262
  • Fax: 561-200-4268
Mailing address:
  • Phone: 561-200-4262
  • Fax: 561-200-4268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT21706
License Number StateFL

VIII. Authorized Official

Name: MRS. CARYN LYNN CHOMSKY
Title or Position: PRESIDENT/SECRETARY
Credential: DPT
Phone: 561-200-4262