Provider Demographics
NPI:1194236505
Name:PHYSICAL THERAPY NOW OF LAKE WORTH INC
Entity type:Organization
Organization Name:PHYSICAL THERAPY NOW OF LAKE WORTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CARUSO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:561-963-6227
Mailing Address - Street 1:3003 S CONGRESS AVE STE 2F
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-2169
Mailing Address - Country:US
Mailing Address - Phone:561-963-6227
Mailing Address - Fax:561-963-4199
Practice Address - Street 1:3003 S CONGRESS AVE STE 2F
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-2169
Practice Address - Country:US
Practice Address - Phone:561-963-6227
Practice Address - Fax:561-963-4199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-12
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty