Healthcare Provider Details

I. General information

NPI: 1912915521
Provider Name (Legal Business Name): PREFERRED PHYSICAL THERAPY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 12/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3994 W. HILLSBORO BLVD
DEEFIELD BEACH FL
33442
US

IV. Provider business mailing address

3994 W. HILLSBORO BLVD
DEEFIELD BEACH FL
33442
US

V. Phone/Fax

Practice location:
  • Phone: 954-360-7779
  • Fax: 561-395-6995
Mailing address:
  • Phone: 954-360-7779
  • Fax: 561-395-6995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number StateFL

VIII. Authorized Official

Name: TREVOR MEYEROWITZ
Title or Position: PRESIDENT
Credential: RPT
Phone: 954-360-7779