Healthcare Provider Details

I. General information

NPI: 1568778421
Provider Name (Legal Business Name): PHYSICAL THERAPY EXPERTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2010
Last Update Date: 08/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 NE 125TH ST
NORTH MIAMI FL
33161-4718
US

IV. Provider business mailing address

505 NE 125TH ST
NORTH MIAMI FL
33161-4718
US

V. Phone/Fax

Practice location:
  • Phone: 786-235-7240
  • Fax: 786-235-7241
Mailing address:
  • Phone: 786-235-7240
  • Fax: 786-235-7241

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: DR. ARMANDO A FALCON
Title or Position: PRESIDENT
Credential: MD
Phone: 305-798-1248