MEDICARE: NANCY K WHELAN R.P.T., P.A.

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	2137	FL

General Provider Information

NPI Number	:	1700079803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY K WHELAN R.P.T., P.A.

Provider Business Mailing Address
First Line	:	6724 FOREST HILL BLVD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33413-3335
Country	:	US
Telephone Number	:	561-433-2009
Fax Number	:	561-433-1496

Provider Business Practice Location Address
First Line	:	6724 FOREST HILL BLVD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33413-3335
Country	:	US
Telephone Number	:	561-433-2009
Fax Number	:

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

Provider Enumeration Date	:	08/22/2007
Last Update Date	:	03/23/2016

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