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

New Form Physical Therapy and Wellness Center PA

Organization Physical Therapist · NPI 1487028874

New Form Physical Therapy and Wellness Center PA is a Physical Therapist 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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