Provider Demographics
NPI:1427038389
Name:AMERICAN PHYSICAL THERAPY INSTITUTE INC
Entity Type:Organization
Organization Name:AMERICAN PHYSICAL THERAPY INSTITUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODDAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-661-1126
Mailing Address - Street 1:6705 SW 57 AVENUE
Mailing Address - Street 2:SUITE 503
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3644
Mailing Address - Country:US
Mailing Address - Phone:305-661-1126
Mailing Address - Fax:305-661-2124
Practice Address - Street 1:6705 SW 57 AVE
Practice Address - Street 2:SUITE 503
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33143-3644
Practice Address - Country:US
Practice Address - Phone:305-661-1126
Practice Address - Fax:305-661-2124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK2372OtherMEDICARE
FLK2372Medicare PIN