Provider Demographics
NPI:1073562369
Name:JAMES, TODD ROBERT (PT)
Entity Type:Individual
Prefix:MR
First Name:TODD
Middle Name:ROBERT
Last Name:JAMES
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8632 NW 62ND PL
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-5024
Mailing Address - Country:US
Mailing Address - Phone:954-341-4872
Mailing Address - Fax:
Practice Address - Street 1:1315 LYONS RD
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33063-3927
Practice Address - Country:US
Practice Address - Phone:954-972-1200
Practice Address - Fax:954-972-6212
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT19854225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist