Provider Demographics
NPI:1396851838
Name:SALEHI, HAMID R (RPT)
Entity Type:Individual
Prefix:
First Name:HAMID
Middle Name:R
Last Name:SALEHI
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 N CONGRESS AVE
Mailing Address - Street 2:SUITE 417
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4621
Mailing Address - Country:US
Mailing Address - Phone:561-498-4300
Mailing Address - Fax:561-498-4539
Practice Address - Street 1:601 N CONGRESS AVE
Practice Address - Street 2:SUITE 417
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4621
Practice Address - Country:US
Practice Address - Phone:561-498-4300
Practice Address - Fax:561-498-4539
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT008827225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY5026Medicare ID - Type Unspecified