Provider Demographics
NPI:1629771332
Name:EASY REACH PHYSICAL THERAPY & REHAB INC
Entity Type:Organization
Organization Name:EASY REACH PHYSICAL THERAPY & REHAB INC
Other - Org Name:EASY REACH CHIROPRACTIC LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADONIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:754-200-4822
Mailing Address - Street 1:2001 NW 62ND ST STE 101
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-1865
Mailing Address - Country:US
Mailing Address - Phone:561-530-4602
Mailing Address - Fax:561-424-6078
Practice Address - Street 1:2001 NW 62ND ST STE 101
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-1865
Practice Address - Country:US
Practice Address - Phone:561-530-4602
Practice Address - Fax:561-424-6078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Multi-Specialty