Healthcare Provider Details

I. General information

NPI: 1073372777
Provider Name (Legal Business Name): PHYT REHAB OF FLORIDA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2024
Last Update Date: 03/15/2024
Certification Date: 08/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 S PINE ISLAND RD
PLANTATION FL
33324-4413
US

IV. Provider business mailing address

171 KINGS HWY
BROOKLYN NY
11223-1023
US

V. Phone/Fax

Practice location:
  • Phone: 718-256-6000
  • Fax:
Mailing address:
  • Phone: 718-256-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAVID HELFGOTT
Title or Position: EVP & CFO
Credential:
Phone: 718-256-6000