Provider Demographics
NPI:1710575949
Name:PHYSICAL THERAPY NOW OF WESTON INC
Entity Type:Organization
Organization Name:PHYSICAL THERAPY NOW OF WESTON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:LADEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:954-336-0216
Mailing Address - Street 1:1524 WESTON RD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3262
Mailing Address - Country:US
Mailing Address - Phone:954-860-7170
Mailing Address - Fax:954-860-7186
Practice Address - Street 1:1524 WESTON RD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3262
Practice Address - Country:US
Practice Address - Phone:954-860-7170
Practice Address - Fax:954-860-7186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT10997OtherMEDICAL LICENSE