Provider Demographics
NPI:1376130526
Name:PT KIDS LLC
Entity Type:Organization
Organization Name:PT KIDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADINA
Authorized Official - Middle Name:LAUREN
Authorized Official - Last Name:BEHAR
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:516-581-4507
Mailing Address - Street 1:2520 NE 214TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1052
Mailing Address - Country:US
Mailing Address - Phone:515-581-4507
Mailing Address - Fax:786-292-0031
Practice Address - Street 1:2520 NE 214TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180-1052
Practice Address - Country:US
Practice Address - Phone:515-581-4507
Practice Address - Fax:786-292-0031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty