Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Country Club PT PA

Organization Physical Therapist · NPI 1174830202

Country Club PT PA is a Physical Therapist 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
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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