MEDICARE: DR. IRA BOND JR. PT,DPT

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	PT42911	FL

General Provider Information

NPI Number	:	1164234738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRA BOND JR. PT,DPT

Provider Business Mailing Address
First Line	:	5300 POWERLINE RD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3172
Country	:	US
Telephone Number	:	267-265-0826
Fax Number	:	954-510-9395

Provider Business Practice Location Address
First Line	:	5300 POWERLINE RD STE 3A-B
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3172
Country	:	US
Telephone Number	:	954-940-0718
Fax Number	:	954-510-9395

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

Provider Enumeration Date	:	01/22/2025
Last Update Date	:	03/26/2025

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