Provider Demographics
NPI:1407003106
Name:NATIONAL THERAPEUTIC SYSTEMS INC
Entity Type:Organization
Organization Name:NATIONAL THERAPEUTIC SYSTEMS INC
Other - Org Name:LEGEND PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YAZEED
Authorized Official - Middle Name:F
Authorized Official - Last Name:SALEH
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:561-352-6199
Mailing Address - Street 1:2098 HENLEY PL
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-7757
Mailing Address - Country:US
Mailing Address - Phone:561-790-2094
Mailing Address - Fax:561-790-2094
Practice Address - Street 1:2098 HENLEY PL
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-7757
Practice Address - Country:US
Practice Address - Phone:561-790-2094
Practice Address - Fax:561-790-2094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT10718261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy