Provider Demographics
NPI:1255577151
Name:ANEW PHYSICAL THERAPY INC.
Entity type:Organization
Organization Name:ANEW PHYSICAL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:SILVESTRI-BLISS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:954-304-6862
Mailing Address - Street 1:2420 NW 115TH AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-3422
Mailing Address - Country:US
Mailing Address - Phone:954-304-6862
Mailing Address - Fax:
Practice Address - Street 1:2420 NW 115TH AVE
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3422
Practice Address - Country:US
Practice Address - Phone:954-304-6862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-23
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty