Provider Demographics
NPI:1427082130
Name:STEINBERG, SANDY H (RPT)
Entity type:Individual
Prefix:
First Name:SANDY
Middle Name:H
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10201 PORT OF SPAIN ST
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33026
Mailing Address - Country:US
Mailing Address - Phone:954-536-6344
Mailing Address - Fax:954-442-4124
Practice Address - Street 1:10201 PORT OF SPAIN ST
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33026
Practice Address - Country:US
Practice Address - Phone:954-536-6344
Practice Address - Fax:954-442-4124
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT00001847225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY053XAMedicare ID - Type Unspecified
FLK5733Medicare PIN