Provider Demographics
NPI:1760213862
Name:FLOW PHYSICAL THERAPY SPORTS PERFORMANCE AND WELLNESS LLC
Entity type:Organization
Organization Name:FLOW PHYSICAL THERAPY SPORTS PERFORMANCE AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:631-612-1448
Mailing Address - Street 1:325 N STATE ROAD 7 APT 5303
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2878
Mailing Address - Country:US
Mailing Address - Phone:631-612-1448
Mailing Address - Fax:
Practice Address - Street 1:325 N STATE ROAD 7 APT 5303
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2878
Practice Address - Country:US
Practice Address - Phone:631-612-1448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy