Fundamental Therapy Inc

LBN: Fundamental Therapy Inc
Fundamental Therapy Inc is an health care organization with primary practice located at 4106 N 48Th Ave , Hollywood FL 33021-1735. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as the primary health care specialty. Fundamental Therapy Inc can be contacted via phone (954) 648-7819, or through Nagler, Anniel via phone (954) 648-7819.

Contact Information

Primary practice address
4106 N 48Th Ave Hollywood FL 33021-1735
Phone: (954) 648-7819
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nagler, Anniel MSPT
Phone: (954) 648-7819

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X

Profile Details

NPI number 1922607845
LBN Legal business name Fundamental Therapy Inc
DBA Doing business as
Authorized official Nagler, Anniel MSPT
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2020
Last updated Oct 21st, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922607845 NPPES
Florida MEDICAID 000288300
Florida Other PT20744

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