MEDICARE: PHYSIOTHERAPY ASSOCIATES 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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1972693810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSIOTHERAPY ASSOCIATES INC

Provider Business Mailing Address
First Line	:	2250 PALM BEACH LAKES BLVD
Second Line	:	SUITE 109
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-3407
Country	:	US
Telephone Number	:	561-683-9991
Fax Number	:

Provider Business Practice Location Address
First Line	:	2250 PALM BEACH LAKES BLVD
Second Line	:	SUITE 109
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-3407
Country	:	US
Telephone Number	:	561-683-9991
Fax Number	:

Authorized Official
Title or Position	:	COMPLIANCE
Name	:	JANET BECK
Credential	:
Telephone Number	:	901-685-7227

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	09/27/2007

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