Provider Demographics
NPI:1922197177
Name:PHYSIOTHERAPY ASSOCIATES INC
Entity Type:Organization
Organization Name:PHYSIOTHERAPY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-685-7227
Mailing Address - Street 1:2731 EXECUTIVE PARK DR
Mailing Address - Street 2:SUITES 1 & 2
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3657
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2731 EXECUTIVE PARK DR
Practice Address - Street 2:SUITES 1 & 2
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3657
Practice Address - Country:US
Practice Address - Phone:954-389-3222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106687Medicare Oscar/Certification