Healthcare Provider Details

I. General information

NPI: 1851233167
Provider Name (Legal Business Name): THAO BUI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2234 N UNIVERSITY DR
CORAL SPRINGS FL
33071-6184
US

IV. Provider business mailing address

9981 NW 23RD CT
CORAL SPRINGS FL
33065-4807
US

V. Phone/Fax

Practice location:
  • Phone: 954-779-4549
  • Fax:
Mailing address:
  • Phone: 954-736-0667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA33226
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: