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NPI Code Detail

MEDICARE: ARIES PT

MEDICARE: ARIES 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
1208100000XPhysical Medicine & Rehabilitation Physician
2261QP2000XPhysical Therapy Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568010031
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIES PT
Provider Business Mailing Address
First Line : 1115 E SUNRISE BLVD
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33304-2809
Country : US
Telephone Number : 954-247-4929
Fax Number :
Provider Business Practice Location Address
First Line : 1115 E SUNRISE BLVD
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33304-2809
Country : US
Telephone Number : 954-247-4929
Fax Number :
Authorized Official
Title or Position : CO-OWNER
Name : JOSHUA MEYER
Credential :
Telephone Number : 954-247-4929
Provider Enumeration Date : 08/28/2019
Last Update Date : 02/24/2020

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Directions to “ARIES PT ” Practice Location

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