Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Country Club PT PA

Organization Physical Therapist · NPI 1174830202

Country Club PT PA provides Physical Therapist services in West Palm Beach, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13200 Eastpointe Way
West Palm Beach, FL 33418-1418 Not confirmed with CMS for 14 years — call before visiting
Phone: (561) 632-2160
Fax: (561) 842-6458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT20257 (FL)

Record details

NPI number1174830202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Nolin — Owner/Therapist · (561) 632-2160
NPI enumeratedSeptember 10, 2010
Last updated in NPPESSeptember 18, 2012
Mailing address513 Us Highway 1 Ste 216, North Palm Beach, FL 33408-4905

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