Provider Demographics
NPI:1477231595
Name:CLEAR CHOICE PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:CLEAR CHOICE PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:A
Authorized Official - Last Name:BLEEKER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:954-610-2253
Mailing Address - Street 1:5975 N FEDERAL HWY STE 244
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-2652
Mailing Address - Country:US
Mailing Address - Phone:954-610-2253
Mailing Address - Fax:954-633-7027
Practice Address - Street 1:2840 E OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1814
Practice Address - Country:US
Practice Address - Phone:954-565-0075
Practice Address - Fax:954-565-0085
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLEAR CHOICE PHYSICAL THERAPY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy