Healthcare Provider Details

I. General information

NPI: 1952925489
Provider Name (Legal Business Name): IPT OF FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2020
Last Update Date: 01/18/2021
Certification Date: 01/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 N MILITARY TRL STE 7
WEST PALM BEACH FL
33409-6059
US

IV. Provider business mailing address

1225 N MILITARY TRL STE 7
WEST PALM BEACH FL
33409-6059
US

V. Phone/Fax

Practice location:
  • Phone: 561-515-4551
  • Fax: 561-770-7489
Mailing address:
  • Phone: 561-515-4551
  • Fax: 561-770-7489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: RICHARD RINEHART
Title or Position: PRESIDENT
Credential: HCA, PTA, CSCS
Phone: 561-515-4551