Provider Demographics
NPI:1891382503
Name:QUALITY PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:QUALITY PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:MS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPDEVILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-495-3040
Mailing Address - Street 1:10124 NW 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-1759
Mailing Address - Country:US
Mailing Address - Phone:305-390-4252
Mailing Address - Fax:305-390-4255
Practice Address - Street 1:10124 NW 27TH AVENUE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147
Practice Address - Country:US
Practice Address - Phone:786-310-3776
Practice Address - Fax:786-228-0857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-29
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty