Provider Demographics
NPI:1760634356
Name:ARCHER PHYSICAL THERAPY AND PILATES INSTITUTE INC
Entity Type:Organization
Organization Name:ARCHER PHYSICAL THERAPY AND PILATES INSTITUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMAN-TOV
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:754-217-4188
Mailing Address - Street 1:PO BOX 813668
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33081-3668
Mailing Address - Country:US
Mailing Address - Phone:754-217-4188
Mailing Address - Fax:
Practice Address - Street 1:2450 HOLLYWOOD BLVD STE 301B
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6642
Practice Address - Country:US
Practice Address - Phone:754-217-4188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-15
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty