Healthcare Provider Details

I. General information

NPI: 1093582686
Provider Name (Legal Business Name): PHYSICAL THERAPY NOW DORAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2023
Last Update Date: 01/25/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3399 NW 72ND AVE STE 106
MIAMI FL
33122-1339
US

IV. Provider business mailing address

3399 NW 72ND AVE STE 106
MIAMI FL
33122-1339
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

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