Provider Demographics
NPI:1033460209
Name:FLAHERTY, BRITTANY J (DPT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:J
Last Name:FLAHERTY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 ROYAL PALM WAY
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-4305
Mailing Address - Country:US
Mailing Address - Phone:561-655-7266
Mailing Address - Fax:561-655-3269
Practice Address - Street 1:300 ROYAL PALM WAY
Practice Address - Street 2:
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-4305
Practice Address - Country:US
Practice Address - Phone:561-655-7266
Practice Address - Fax:561-655-3269
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30105225100000X
IL070-019163225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL014931500Medicaid