Provider Type Icon

PEDIATRIC PHYSICAL THERAPY ON THE MOVE PA NPI 1295891091


NPI Information

NPI: 1295891091
Provider Name: PEDIATRIC PHYSICAL THERAPY ON THE MOVE, PA
Classification: Physical Therapist - 2251N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 10D0285849

Address:
55 WESTON RD
SUITE #103
WESTON, FL
ZIP 33326
Phone: (954) 383-4239
Get Directions

PEDIATRIC PHYSICAL THERAPY ON THE MOVE, PA is a neurology physical therapist in Weston, FL. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology. PEDIATRIC PHYSICAL THERAPY ON THE MOVE, PA NPI is 1295891091. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

55 WESTON RD
SUITE #103
WESTON, FL
ZIP 33326-169
Phone: (954) 383-4239
Fax: (954) 435-2810

The provider's authorized official is Tracy C. Cueli-dutil .
The authorized official title is President and has the following contact phone number (954) 383-4239.

The CLIA number assigned to this NPI record is 10D0285849 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251N0400XPhysical TherapistNeurologyPT17075FLORIDAYes
22251P0200XPhysical TherapistPediatricsPT17075FLORIDAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Y8749OTHERFLORIDABCBS PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.