Provider Demographics
NPI:1902469885
Name:ABATI LLC.
Entity Type:Organization
Organization Name:ABATI LLC.
Other - Org Name:PHYSICAL THERAPY NOW OF WEST BOCA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HAUPTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-613-1653
Mailing Address - Street 1:20929 - 20933 LYONS RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1423
Mailing Address - Country:US
Mailing Address - Phone:561-327-4252
Mailing Address - Fax:561-600-4081
Practice Address - Street 1:20929 - 20933 LYONS RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1423
Practice Address - Country:US
Practice Address - Phone:561-327-4252
Practice Address - Fax:561-600-4081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-17
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT30789OtherMEDICAL LICENSE