Healthcare Provider Details

I. General information

NPI: 1306767835
Provider Name (Legal Business Name): ADVANCE CARE PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9559 BARLETTA WINDS PT
DELRAY BEACH FL
33446-9712
US

IV. Provider business mailing address

9559 BARLETTA WINDS PT
DELRAY BEACH FL
33446-9712
US

V. Phone/Fax

Practice location:
  • Phone: 347-255-8255
  • Fax:
Mailing address:
  • Phone: 347-255-8255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. RAFAEL MASTOV
Title or Position: PRESIDENT / PHYSICAL THERAPIST
Credential: DPT
Phone: 347-255-8255