Provider Demographics
NPI:1568643286
Name:VERHEES & ASSOCIATES PHYSICAL THERAPY INSTITUTE INC
Entity Type:Organization
Organization Name:VERHEES & ASSOCIATES PHYSICAL THERAPY INSTITUTE INC
Other - Org Name:VERHEES & ASSOCIATES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P G
Authorized Official - Last Name:VERHEES
Authorized Official - Suffix:
Authorized Official - Credentials:RPT,MTC,ND
Authorized Official - Phone:561-638-1636
Mailing Address - Street 1:4900 LINTON BLVD
Mailing Address - Street 2:SUITE # 2
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-6688
Mailing Address - Country:US
Mailing Address - Phone:561-638-1636
Mailing Address - Fax:561-637-5919
Practice Address - Street 1:900 NW 13TH ST
Practice Address - Street 2:SUITE #104
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2335
Practice Address - Country:US
Practice Address - Phone:561-394-0214
Practice Address - Fax:561-394-4530
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VERHEES & ASSOCIATES PHYSICAL THERAPY INSTITUTE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-21
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT6221225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6221OtherGREATWEST
FLY914AOtherBCBS
FL6221OtherBEECHSTREET
FLY914BOtherBCBS
FL6699538OtherGHI
FL6221OtherUNITEDHEALTHCARE
FLEG317AMedicare PIN