Healthcare Provider Details

I. General information

NPI: 1194236505
Provider Name (Legal Business Name): PHYSICAL THERAPY NOW OF LAKE WORTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2017
Last Update Date: 10/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 S CONGRESS AVE STE 2F
PALM SPRINGS FL
33461-2169
US

IV. Provider business mailing address

3003 S CONGRESS AVE STE 2F
PALM SPRINGS FL
33461-2169
US

V. Phone/Fax

Practice location:
  • Phone: 561-963-6227
  • Fax: 561-963-4199
Mailing address:
  • Phone: 561-963-6227
  • Fax: 561-963-4199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY JOSEPH CARUSO JR.
Title or Position: PRESIDENT
Credential: DC
Phone: 561-963-6227