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Contact Information

FLORIDA MOVEMENT THERAPY CENTER-BOCA RATON, LLC
21065 POWERLINE RD
SUITE A2
BOCA RATON, FL33433-2313
 Phone: 561-883-7800
 Fax: 561-883-7801
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Neurorehabilitation

225XN1300X 67 Occupational Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for FLORIDA MOVEMENT THERAPY CENTER-BOCA RATON, LLC

NPI # 1407118268
LBN Legal business name FLORIDA MOVEMENT THERAPY CENTER-BOCA RATON, LLC
Authorized official JODI GRAY - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/07/2012
Last updated 07/07/2016 - About 10 years ago
Identifiers
FL License # OT9734
FL License # PT3436
FL License # SA5535
Other GL290A MEDICARE PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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