MEDICARE: BISHOPS CORNER PHYSICAL THERAPY

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	2251X0800X	Orthopedic Physical Therapist	007968	FM

General Provider Information

NPI Number	:	1679715239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BISHOPS CORNER PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	9082 BOCA GARDENS PKWY APT A
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33496-4214
Country	:	US
Telephone Number	:	917-922-8990
Fax Number	:

Provider Business Practice Location Address
First Line	:	9082 BOCA GARDENS PKWY APT A
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33496-4214
Country	:	US
Telephone Number	:	917-922-8990
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. MEREDITH KOWALSKY
Credential	:	M.S., P.T.
Telephone Number	:	917-922-8990

Provider Enumeration Date	:	03/29/2009
Last Update Date	:	04/24/2025

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Directions to “BISHOPS CORNER PHYSICAL THERAPY ” Practice Location

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