MEDICARE: MASSAGEWORKS PHYSICAL THERAPY, INC.

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

General Provider Information

NPI Number	:	1265756084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MASSAGEWORKS PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	1400 SAINT CHARLES PL APT 817
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-3222
Country	:	US
Telephone Number	:	305-934-2514
Fax Number	:	954-432-9665

Provider Business Practice Location Address
First Line	:	1400 SAINT CHARLES PL APT 817
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-3222
Country	:	US
Telephone Number	:	305-934-2514
Fax Number	:	954-432-9665

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GILBERTO V RAMIREZ
Credential	:	PT
Telephone Number	:	305-934-2514

Provider Enumeration Date	:	03/23/2010
Last Update Date	:	10/03/2020

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