Provider Demographics
NPI:1215733027
Name:DR MICHELLE SOKOLOFF PT LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:DR MICHELLE SOKOLOFF PT LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOKOLOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-459-9057
Mailing Address - Street 1:120 NE 4TH ST APT N310
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-1064
Mailing Address - Country:US
Mailing Address - Phone:954-459-9057
Mailing Address - Fax:
Practice Address - Street 1:120 NE 4TH ST APT N310
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-1064
Practice Address - Country:US
Practice Address - Phone:954-459-9057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty