Provider Demographics
NPI:1316002769
Name:ROJAS, NEY JOSE (MPT)
Entity Type:Individual
Prefix:MR
First Name:NEY
Middle Name:JOSE
Last Name:ROJAS
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6365 SQUIREWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467
Mailing Address - Country:US
Mailing Address - Phone:561-856-2809
Mailing Address - Fax:561-968-9087
Practice Address - Street 1:3900 WOODLAKE BLVD
Practice Address - Street 2:SUITE 301 A
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3044
Practice Address - Country:US
Practice Address - Phone:561-856-2809
Practice Address - Fax:561-641-6740
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT21900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT21900OtherPT LICENSE NUMBER
FL203467565OtherTAX ID NUMBER
FLPT21900OtherPT LICENSE NUMBER
FL203467565OtherTAX ID NUMBER