Provider Demographics
NPI:1164234738
Name:BOND, IRA JR (PT,DPT)
Entity type:Individual
Prefix:DR
First Name:IRA
Middle Name:
Last Name:BOND
Suffix:JR
Gender:M
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 POWERLINE RD
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3172
Mailing Address - Country:US
Mailing Address - Phone:267-265-0826
Mailing Address - Fax:954-510-9395
Practice Address - Street 1:5300 POWERLINE RD STE 3A-B
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3172
Practice Address - Country:US
Practice Address - Phone:954-940-0718
Practice Address - Fax:954-510-9395
Is Sole Proprietor?:No
Enumeration Date:2025-01-22
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT42911225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist