Healthcare Provider Details

I. General information

NPI: 1386286359
Provider Name (Legal Business Name): AMERICAN PHYSICAL THERAPY & MASSAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2019
Last Update Date: 01/21/2020
Certification Date: 01/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 W 61ST ST
HIALEAH FL
33012-2639
US

IV. Provider business mailing address

210 W 61ST ST
HIALEAH FL
33012-2639
US

V. Phone/Fax

Practice location:
  • Phone: 786-975-7974
  • Fax:
Mailing address:
  • Phone: 786-975-7974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NOEVETSY ARIAS NARANJO
Title or Position: PTA
Credential:
Phone: 305-804-2091