| Organization Name: | PHYSICAL THERAPY AT HOME INC |
| NPI Number: | 1346505559 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GOMAA RAMADAM IBRAHIM ALI (OWNER) |
| Mailing Address: | 1121 Jacaranda Blvd Venice |
| State: | FL US |
| Postal Code: | 342924586 |
| Phone Number: | 9412065200 |
| Fax Number: | 9415046842 |
| NPI Enumeration Date: | 07/13/2012 |
| NPI Last Update Date: | 10/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT12658 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |