MEDICARE: BACK IN ACTION

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	261Q00000X	Clinic/Center	PT4144	FL

General Provider Information

NPI Number	:	1083778682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BACK IN ACTION

Provider Business Mailing Address
First Line	:	4022 N OCEAN BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308
Country	:	US
Telephone Number	:	954-567-2617
Fax Number	:	954-567-2819

Provider Business Practice Location Address
First Line	:	4022 N OCEAN BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308
Country	:	US
Telephone Number	:	954-567-2617
Fax Number	:	954-567-2819

Authorized Official
Title or Position	:	DIRECTOR PHYSICAL THERAPY
Name	:	MRS. LYDIA T. BRADLEY
Credential	:	RPT
Telephone Number	:	954-567-2617

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	08/30/2007

Similar Medicare Providers

1497430532 — RETINA MACULA SPECIALISTS OF MIAMI LLC
Practice Location Address:

2466 E COMMERCIAL BLVD STE 102
FT LAUDERDALE, FL
33308-4011

Practice Phone: 954-492-1177
Practice Fax: 954-492-0352

1467317768 — ENDURING HOPE COMPANION CARE, LLC
Practice Location Address:

2803 E COMMERCIAL BLVD STE 200-8
FT LAUDERDALE, FL
33308-4205

Practice Phone: 954-865-2790
Practice Fax:

1750641908 — DR. ARTHUR L. NADDELL MD
Practice Location Address:

4000 NE 22ND AVE
FT LAUDERDALE, FL
33308-5624

Practice Phone: 954-566-2179
Practice Fax:

1497190110 — JAMES A JORDAN MD
Practice Location Address:

2340 NE 53RD ST
FT LAUDERDALE, FL
33308-3212

Practice Phone: 954-491-7835
Practice Fax:

1942837257 — DR. DANIEL LEONARD COHEN
Practice Location Address:

4725 N FEDERAL HWY
FT LAUDERDALE, FL
33308-4603

Practice Phone: 954-771-8000
Practice Fax:

1487402608 — JEFFERY FRANCIS
Practice Location Address:

2121 E COMMERCIAL BLVD
FT LAUDERDALE, FL
33308-3821

Practice Phone: 872-231-3162
Practice Fax:

1639172802 — MEDFUND LLC
Practice Location Address:

5100 N FEDERAL HWY , STE 102
FT LAUDERDALE, FL
33308-3842

Practice Phone: 954-202-3400
Practice Fax: 954-202-3448

Directions to “BACK IN ACTION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.