Provider Demographics
NPI:1023248416
Name:PREFERRED PHYSICAL THERAPY ASSOCIATES, INC.
Entity type:Organization
Organization Name:PREFERRED PHYSICAL THERAPY ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHELDON
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:DEVINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-544-0800
Mailing Address - Street 1:7600 W CAMINO REAL STE 102
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-5514
Mailing Address - Country:US
Mailing Address - Phone:561-544-0800
Mailing Address - Fax:561-395-6995
Practice Address - Street 1:18859 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2839
Practice Address - Country:US
Practice Address - Phone:561-544-0800
Practice Address - Fax:561-395-6995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-20
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL686846Medicare PIN