Provider Demographics
NPI:1477708063
Name:ONE TO ONE PHYSICAL THERAPY & AQUATICS
Entity Type:Organization
Organization Name:ONE TO ONE PHYSICAL THERAPY & AQUATICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:SAGE
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:561-496-5144
Mailing Address - Street 1:9970 CENTRAL PARK BLVD N
Mailing Address - Street 2:STE 300
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-2231
Mailing Address - Country:US
Mailing Address - Phone:561-939-2033
Mailing Address - Fax:561-939-2037
Practice Address - Street 1:9970 CENTRAL PARK BLVD N
Practice Address - Street 2:STE 300
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-2231
Practice Address - Country:US
Practice Address - Phone:561-939-2033
Practice Address - Fax:561-939-2037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty