Provider Demographics
NPI:1972271955
Name:FIRST CARE THERAPY LLC
Entity Type:Organization
Organization Name:FIRST CARE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OTR/L/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOODJHINSSY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFAILLE-PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-396-3316
Mailing Address - Street 1:1325 S CONGRESS AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-5874
Mailing Address - Country:US
Mailing Address - Phone:561-396-3316
Mailing Address - Fax:
Practice Address - Street 1:1325 S CONGRESS AVE STE 203
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-5874
Practice Address - Country:US
Practice Address - Phone:561-767-9438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy