Healthcare Provider Details
I. General information
NPI: 1841045259
Provider Name (Legal Business Name): BIT PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/19/2024
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
105 BALLENISLE CIRCLE
PALM BEACH GARDENS FL
33418
US
IV. Provider business mailing address
105 BALLENISLE CIRCLE
PALM BEACH GARDENS FL
33418
US
V. Phone/Fax
- Phone: 561-625-2637
- Fax: 561-293-2730
- Phone: 561-625-2637
- Fax: 561-293-2730
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0400X |
| Taxonomy | Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
BRETT
RICHMAN
Title or Position: OWNER/ PHYSICAL THERAPISTS
Credential: PT
Phone: 561-346-5701