Healthcare Provider Details

I. General information

NPI: 1144770124
Provider Name (Legal Business Name): PHYSICAL THERAPY NOW HOLDINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2016
Last Update Date: 05/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 SW 52ND AVE
PEMBROKE PARK FL
33023
US

IV. Provider business mailing address

15680 SW 88TH ST STE 201
MIAMI FL
33196-1160
US

V. Phone/Fax

Practice location:
  • Phone: 954-526-1800
  • Fax: 954-362-7086
Mailing address:
  • Phone: 305-570-1666
  • Fax: 305-203-0546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDRES ZAPATA
Title or Position: OCCUPATIONAL THERAPIST
Credential: OT
Phone: 305-517-1219