| New Form Physical Therapy And Wellness Center P.a. | |
|
17971 Biscayne Blvd Ste 104, Aventura, FL 33160-2531 | |
| (305) 999-1844 | |
| Not Available |
| Full Name | New Form Physical Therapy And Wellness Center P.a. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 17971 Biscayne Blvd Ste 104, Aventura, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487028874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT23183 (Florida) | Primary |
| Provider Name | Simone B Salles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134395619 PECOS PAC ID: 0941526115 Enrollment ID: I20150305001354 |
| Mailing Address | Practice Location Address |
|---|---|
| New Form Physical Therapy And Wellness Center P.a. Po Box 800625, Aventura, FL 33280-0625 Ph: (305) 766-4181 | New Form Physical Therapy And Wellness Center P.a. 17971 Biscayne Blvd Ste 104, Aventura, FL 33160-2531 Ph: (305) 999-1844 |
Mrs. Carrie A Schauer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20900 Biscayne Blvd, Aventura, FL 33180 Phone: 305-937-5802 | |
Preferred Physical Therapy Associates, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18859 Biscayne Blvd, Aventura, FL 33180 Phone: 561-544-0800 Fax: 561-395-6995 | |
Mrs. Leslie Leibowitz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6000 Island Blvd, # 2202, Aventura, FL 33160 Phone: 305-931-8900 Fax: 954-583-7388 | |
Rafat Hamdan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2627 Ne 203rd St Ste 110, Aventura, FL 33180 Phone: 305-466-1388 Fax: 305-466-9200 | |
Alejandro Diaz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16249 Biscayne Blvd, Aventura, FL 33160 Phone: 305-405-0400 Fax: 305-405-0415 | |
Rohit Gaikwad, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21110 Biscayne Blvd, 205, Aventura, FL 33180 Phone: 786-272-5697 | |
Sara Kae Santana, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 16249 Biscayne Blvd, Aventura, FL 33160 Phone: 305-405-0400 |