Provider Demographics
NPI:1760104475
Name:UNITED THERAPISTS INC
Entity Type:Organization
Organization Name:UNITED THERAPISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:ELLER
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:954-818-6338
Mailing Address - Street 1:4917 NE 14TH TER
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-5703
Mailing Address - Country:US
Mailing Address - Phone:954-818-6338
Mailing Address - Fax:954-480-9082
Practice Address - Street 1:4917 NE 14TH TER
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-5703
Practice Address - Country:US
Practice Address - Phone:954-818-6338
Practice Address - Fax:954-480-9082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1053957597Medicaid
FL1346642568Medicaid