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

New Form Physical Therapy and Wellness Center PA

Organization Physical Therapist · NPI 1487028874

New Form Physical Therapy and Wellness Center PA provides Physical Therapist services in Aventura, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
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

17971 Biscayne Blvd Ste 104
Aventura, FL 33160-2531
Phone: (305) 999-1844
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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 PT23183 (FL)

Record details

NPI number1487028874
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Simone Salles — Physical Therapist · (305) 766-4181
NPI enumeratedNovember 23, 2015
Last updated in NPPESSeptember 1, 2023
Certification dateSeptember 1, 2023
Mailing addressPo Box 800625, Aventura, FL 33280-0625

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