Provider Demographics
NPI:1184082166
Name:WJREADERPTSERVICESLLC
Entity type:Organization
Organization Name:WJREADERPTSERVICESLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:READER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:786-395-0164
Mailing Address - Street 1:9955 SW 157TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1690
Mailing Address - Country:US
Mailing Address - Phone:786-395-0164
Mailing Address - Fax:
Practice Address - Street 1:9955 SW 157TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-1690
Practice Address - Country:US
Practice Address - Phone:786-395-0164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-04
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT5651305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service