Provider Demographics
NPI:1104553585
Name:MOHLER, JOSEPH ALLEN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ALLEN
Last Name:MOHLER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5347 NW 126TH DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3405
Mailing Address - Country:US
Mailing Address - Phone:352-444-4460
Mailing Address - Fax:
Practice Address - Street 1:4543 WESTON RD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3140
Practice Address - Country:US
Practice Address - Phone:954-233-0745
Practice Address - Fax:954-231-2576
Is Sole Proprietor?:No
Enumeration Date:2022-08-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT39116225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist