Healthcare Provider Details

I. General information

NPI: 1013927706
Provider Name (Legal Business Name): BCOT ASSESSMENT & SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 02/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 E HALLANDALE BEACH BLVD STE 101A
HALLANDALE BEACH FL
33009-3765
US

IV. Provider business mailing address

8956 NW 34TH ST
HOLLYWOOD FL
33024-8710
US

V. Phone/Fax

Practice location:
  • Phone: 954-328-1505
  • Fax: 954-443-8576
Mailing address:
  • Phone: 954-328-1505
  • Fax: 954-443-8576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT15461
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT8318
License Number StateFL

VIII. Authorized Official

Name: MR. BRIAN CAITS
Title or Position: PRESIDENT
Credential: OCCUPATIONAL THERAPI
Phone: 954-328-1505