Provider Demographics
NPI:1427079599
Name:PALM BEACH HOME THERAPY, INC.
Entity type:Organization
Organization Name:PALM BEACH HOME THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MAGEE
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:561-889-8847
Mailing Address - Street 1:122 SANTIAGO DR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-2720
Mailing Address - Country:US
Mailing Address - Phone:561-889-8847
Mailing Address - Fax:561-776-8436
Practice Address - Street 1:122 SANTIAGO DR
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-2720
Practice Address - Country:US
Practice Address - Phone:561-889-8847
Practice Address - Fax:561-776-8436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4731Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER