MEDICARE: AMY COHEN NEHRKE PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT 21332	FL

General Provider Information

NPI Number	:	1003848508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY COHEN NEHRKE PT

Provider Business Mailing Address
First Line	:	1332 NE 16TH AVE # 2
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33304-1816
Country	:	US
Telephone Number	:	954-764-5989
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 N OCEAN DR
Second Line	:	SUITE 302
City	:	LAUDERDALE BY THE SEA
State	:	FL
Zip	:	33308-5968
Country	:	US
Telephone Number	:	954-351-2299
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	07/08/2007

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Directions to “ AMY COHEN NEHRKE PT” Practice Location

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