Healthcare Provider Details

I. General information

NPI: 1629771332
Provider Name (Legal Business Name): EASY REACH PHYSICAL THERAPY & REHAB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 09/02/2025
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 NW 62ND ST STE 101
FORT LAUDERDALE FL
33309-1865
US

IV. Provider business mailing address

2001 NW 62ND ST STE 101
FORT LAUDERDALE FL
33309-1865
US

V. Phone/Fax

Practice location:
  • Phone: 561-530-4602
  • Fax: 561-424-6078
Mailing address:
  • Phone: 561-530-4602
  • Fax: 561-424-6078

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 Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BARBARA ADONIS
Title or Position: CEO
Credential: DC
Phone: 754-200-4822