Healthcare Provider Details
I. General information
NPI: 1821923970
Provider Name (Legal Business Name): FOX PHYSICAL THERAPY WESTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1495 N PARK DR
WESTON FL
33326-3215
US
IV. Provider business mailing address
2544 SW 25TH ST
MIAMI FL
33133-2209
US
V. Phone/Fax
- Phone: 954-939-3008
- Fax:
- Phone: 954-939-3008
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
BRETT
FOX
Title or Position: OWNER
Credential:
Phone: 954-818-2575