Provider Demographics
NPI:1689831893
Name:MAJOR PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:MAJOR PHYSICAL THERAPY INC
Other - Org Name:GATEWAY TO HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:HECKER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:561-843-7780
Mailing Address - Street 1:15770 VIANA WINDS PT
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-9750
Mailing Address - Country:US
Mailing Address - Phone:561-843-7780
Mailing Address - Fax:561-637-1095
Practice Address - Street 1:4895 WINDWARD PASSAGE DR #3
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-7741
Practice Address - Country:US
Practice Address - Phone:561-736-9899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy