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CHIEF PHYSICAL THERAPY AND SPORTS MEDICINE LLC NPI 1730562109


NPI Information

NPI: 1730562109
Provider Name: CHIEF PHYSICAL THERAPY AND SPORTS MEDICINE LLC

Doing Business As: SOUTH FLORIDA PHYSICAL THERAPY AND SPORTS REHAB

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
805 SE 3RD AVE
SUITE 2
FORT LAUDERDALE, FL
ZIP 33316
Phone: (954) 256-9052
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CHIEF PHYSICAL THERAPY AND SPORTS MEDICINE LLC is a health service clinic center in Fort Lauderdale, FL. CHIEF PHYSICAL THERAPY AND SPORTS MEDICINE LLC NPI is 1730562109. The provider is registered as an organization entity type.
The provider Is Doing Business As South Florida Physical Therapy And Sports Rehab.

The provider's business location address is:

805 SE 3RD AVE
SUITE 2
FORT LAUDERDALE, FL
ZIP 33316-105
Phone: (954) 256-9052
Fax: (954) 533-5275

The provider's authorized official is Carson Kutuchief .
The authorized official title is Managing Member/owner and has the following contact phone number (954) 256-9052.

The enumeration date for this NPI number is 7/2/2015 and was last updated on 4/5/2016.


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
1261QP2000XClinic/CenterPhysical TherapyFLORIDANo
2261QH0100XClinic/CenterHealth ServiceFLORIDAYes

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: 11/14/2023

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