Provider Demographics
NPI:1043991334
Name:UPRIGHT PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:UPRIGHT PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORREALIMA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:305-431-4422
Mailing Address - Street 1:11921 S DIXIE HWY STE 209
Mailing Address - Street 2:
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-4449
Mailing Address - Country:US
Mailing Address - Phone:305-431-4422
Mailing Address - Fax:
Practice Address - Street 1:11921 S DIXIE HWY STE 209
Practice Address - Street 2:
Practice Address - City:PINECREST
Practice Address - State:FL
Practice Address - Zip Code:33156-4449
Practice Address - Country:US
Practice Address - Phone:305-431-4422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty