Healthcare Provider Details

I. General information

NPI: 1316456817
Provider Name (Legal Business Name): PHYSICAL THERAPY NOW CORAL SPRINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2017
Last Update Date: 09/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5884 WILES RD
CORAL SPRINGS FL
33067-2158
US

IV. Provider business mailing address

5884 WILES RD
CORAL SPRINGS FL
33067-2158
US

V. Phone/Fax

Practice location:
  • Phone: 305-570-1666
  • Fax: 305-203-0546
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. RACHEL TREESE
Title or Position: OWNER
Credential: DC
Phone: 954-707-9789