Provider Demographics
NPI:1497186001
Name:PEOPLE FIRST PT LLC
Entity Type:Organization
Organization Name:PEOPLE FIRST PT LLC
Other - Org Name:PEOPLE FIRST PT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:KORES
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:754-206-3772
Mailing Address - Street 1:5400 S. UNIVERSITY DR.
Mailing Address - Street 2:SUITE 302
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328
Mailing Address - Country:US
Mailing Address - Phone:754-206-3772
Mailing Address - Fax:754-206-3802
Practice Address - Street 1:5400 S. UNIVERSITY DR.
Practice Address - Street 2:SUITE 302
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328
Practice Address - Country:US
Practice Address - Phone:754-206-3772
Practice Address - Fax:754-206-3802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-06
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT24885261QP2000X
FL2MPT28530261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy