Healthcare Provider Details

I. General information

NPI: 1932852738
Provider Name (Legal Business Name): PHYSICAL THERAPY TIME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2022
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 SW 184TH ST
CUTLER BAY FL
33157-6603
US

IV. Provider business mailing address

11100 SW 184TH ST
CUTLER BAY FL
33157-6603
US

V. Phone/Fax

Practice location:
  • Phone: 305-720-0492
  • Fax:
Mailing address:
  • Phone: 305-720-0492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. RUTH LORENZO
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 786-720-0492