Provider Demographics
NPI:1063472702
Name:N.B.P.T., INC.
Entity Type:Organization
Organization Name:N.B.P.T., INC.
Other - Org Name:NORTH BEACH PHYSICAL THERAPY & WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:ATTARD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PT
Authorized Official - Phone:305-867-3925
Mailing Address - Street 1:309 71ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-3013
Mailing Address - Country:US
Mailing Address - Phone:305-867-3925
Mailing Address - Fax:305-867-3927
Practice Address - Street 1:309 71ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-3013
Practice Address - Country:US
Practice Address - Phone:305-867-3925
Practice Address - Fax:305-867-3927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT18530225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY913LOtherBCBS GROUP NUMBER
FLK1495Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER