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Deactivated NPI 1033749312 Deactivated / Inactive NPI Female Practitioner

Iman Bouryou , PT

Physical Therapist • Tamarac, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Iman Bouryou has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 25, 2020
NPI Deactivation Date June 04, 2025
Total Practice Duration ~5 Years of Practice (2020 – 2025)

Professional Overview & Biography Verified Profile Summary

Iman Bouryou, PT was a registered Physical Therapist practicing in Tamarac, FL. Throughout an active medical career spanning 5 years, Iman Bouryou provided care at the practice location at 5901 NW 79TH AVE until profile deactivation on 2025-06-04.

Practice Location & Contact Primary Location

Practice Address

5901 Nw 79th Ave

Tamarac, FL 333214639

Telephone 9547227001
Associated Practice Facility / Clinic
🏢 Heartland Of Tamarac Fl Llc Facility NPI 1295782530

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Tamarac, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
35 Specialists

Practicing in Tamarac, FL (14601 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License FL PT35354

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Ryan Coyle , DPT

Physical Therapist

NPI 1346873791

Doctor of Physical Therapy

Mariadela Barrios

Occupational Therapist

NPI 1386404242
Jacqueline Baldwin

Speech-Language Pathologist

NPI 1417796186
Nathalie St Gelus

Physical Therapy Assistant

NPI 1649737420
Achu Abraham , PTA

Physical Therapy Assistant

NPI 1710641477

Physical Therapist Assistant

Eric Wise

Occupational Therapist - Physical Rehabilitation

NPI 1750841177

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 04, 2025

Record deactivated on June 04, 2025

NPI Profile Active January 25, 2020

NPI status registered as active in NPPES database

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Updated Practice Location January 25, 2020

Registered at 5901 NW 79TH AVE, TAMARAC, FL 333214639 (Tel: 9547227001)

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Updated Business Mailing Address January 25, 2020

Registered at 2251 ARCADIA DR, MIRAMAR, FL 330233619 (Tel: 9546624060)

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Provider Name / Credentials Updated January 25, 2020

Recorded as IMAN BOURYOU, PT

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2020

Physical Therapist (License #PT35354 in FL)

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Initial NPI Registration & Enumeration January 25, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033749312
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2020
Last Update: January 25, 2020
Deactivation Date: June 04, 2025

Mailing Address

2251 Arcadia Dr

Miramar, FL 330233619

Phone: 9546624060

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.