Provider Demographics
NPI:1689220683
Name:TONY CERRA PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:TONY CERRA PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CERRA
Authorized Official - Suffix:
Authorized Official - Credentials:THERAPIST
Authorized Official - Phone:585-469-5832
Mailing Address - Street 1:2265 NE 37TH CT
Mailing Address - Street 2:
Mailing Address - City:LIGHTHOUSE POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33064-3909
Mailing Address - Country:US
Mailing Address - Phone:585-469-5832
Mailing Address - Fax:
Practice Address - Street 1:2265 NE 37TH CT
Practice Address - Street 2:
Practice Address - City:LIGHTHOUSE POINT
Practice Address - State:FL
Practice Address - Zip Code:33064-3909
Practice Address - Country:US
Practice Address - Phone:585-469-5832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-15
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy