Provider Demographics
NPI:1699725879
Name:ABSOLUTE PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:ABSOLUTE PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:F
Authorized Official - Last Name:HERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-733-7000
Mailing Address - Street 1:639 E OCEAN AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-5011
Mailing Address - Country:US
Mailing Address - Phone:561-733-8500
Mailing Address - Fax:561-733-8600
Practice Address - Street 1:224 E BOYNTON BEACH BLVD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-3840
Practice Address - Country:US
Practice Address - Phone:561-733-7000
Practice Address - Fax:561-733-8600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2013-11-15
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
FLK8846AMedicare PIN