Healthcare Provider Details

I. General information

NPI: 1700239886
Provider Name (Legal Business Name): PHYSICAL THERAPY NOW KENDALL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2016
Last Update Date: 04/22/2024
Certification Date: 04/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15680 SW 88TH ST STE 201
MIAMI FL
33196-1160
US

IV. Provider business mailing address

12277 SW 130TH ST
MIAMI FL
33186-6218
US

V. Phone/Fax

Practice location:
  • Phone: 305-570-1666
  • Fax: 305-203-0546
Mailing address:
  • Phone: 305-470-9399
  • Fax: 305-203-0546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberOT1147
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDRES ZAPATA
Title or Position: OWNER
Credential:
Phone: 305-244-5883