Provider Demographics
NPI:1275501520
Name:NEW BEGINNINGS REHABILITATION SERVICES, INC.
Entity Type:Organization
Organization Name:NEW BEGINNINGS REHABILITATION SERVICES, INC.
Other - Org Name:GOOD HANDS PHYSICAL THERAPY, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ZEB
Authorized Official - Middle Name:
Authorized Official - Last Name:GARDNER
Authorized Official - Suffix:III
Authorized Official - Credentials:PTA
Authorized Official - Phone:954-297-0425
Mailing Address - Street 1:7000 W OAKLAND PARK BLVD
Mailing Address - Street 2:SUITE # 201
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33313-1016
Mailing Address - Country:US
Mailing Address - Phone:954-297-0425
Mailing Address - Fax:954-587-5213
Practice Address - Street 1:7000 W OAKLAND PARK BLVD
Practice Address - Street 2:SUITE # 201
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-1016
Practice Address - Country:US
Practice Address - Phone:954-297-0425
Practice Address - Fax:954-587-5213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT16228225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK9346Medicare ID - Type UnspecifiedGROUP