Healthcare Provider Details

I. General information

NPI: 1609951524
Provider Name (Legal Business Name): ATLANTIC PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 03/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

736 ARTHUR GODFREY ROAD
MIAMI BEACH FL
33140-3414
US

IV. Provider business mailing address

736 ARTHUR GODFREY ROAD
MIAMI BEACH FL
33140-3414
US

V. Phone/Fax

Practice location:
  • Phone: 305-672-6474
  • Fax: 305-672-6482
Mailing address:
  • Phone: 305-672-6474
  • Fax: 305-672-6482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. DANIEL JAMES IANNETTONE
Title or Position: PRESIDENT
Credential: DPT
Phone: 305-672-6474