Healthcare Provider Details

I. General information

NPI: 1669337598
Provider Name (Legal Business Name): MONICA SASAKI RPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3052 PERRIWINKLE WAY
DAVIE FL
33328-6703
US

IV. Provider business mailing address

3052 PERRIWINKLE WAY
DAVIE FL
33328-6703
US

V. Phone/Fax

Practice location:
  • Phone: 954-675-4180
  • Fax:
Mailing address:
  • Phone: 954-675-4180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT8945
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: