Provider Demographics
NPI:1568699247
Name:CHOMSKY THERAPY SERVICES INC.
Entity Type:Organization
Organization Name:CHOMSKY THERAPY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARYN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CHOMSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:561-200-4262
Mailing Address - Street 1:6609 W WOOLBRIGHT RD STE 420
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-0917
Mailing Address - Country:US
Mailing Address - Phone:561-200-4262
Mailing Address - Fax:561-200-4268
Practice Address - Street 1:6609 W WOOLBRIGHT RD STE 420
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437
Practice Address - Country:US
Practice Address - Phone:561-200-4262
Practice Address - Fax:561-200-4268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-19
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT21706225100000X
261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty