Provider Demographics
NPI:1558360057
Name:NATIONS PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:NATIONS PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MOISES
Authorized Official - Middle Name:E
Authorized Official - Last Name:SENTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-552-6088
Mailing Address - Street 1:2590 SW 107TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2400
Mailing Address - Country:US
Mailing Address - Phone:305-552-6088
Mailing Address - Fax:305-226-7941
Practice Address - Street 1:2590 SW 107TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2400
Practice Address - Country:US
Practice Address - Phone:305-552-6088
Practice Address - Fax:305-226-7941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT19177225100000X
FLPTA18496225200000X
FLMA36707225700000X
FLOT10382225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4262Medicare ID - Type UnspecifiedPROVIDER