Healthcare Provider Details

I. General information

NPI: 1184173445
Provider Name (Legal Business Name): NETTA SARRY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2016
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13645 BISCAYNE BLVD
NORTH MIAMI BEACH FL
33181-1617
US

IV. Provider business mailing address

13645 BISCAYNE BLVD
NORTH MIAMI BEACH FL
33181-1617
US

V. Phone/Fax

Practice location:
  • Phone: 305-949-2700
  • Fax:
Mailing address:
  • Phone: 305-949-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number12843
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305210612
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT33490
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: