# ADVANCE CARE PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306767835
- **Authorized official:** DR. RAFAEL MASTOV DPT (PRESIDENT / PHYSICAL THERAPIST)
- **Authorized official phone:** (347) 255-8255

## Contact information

- **Practice address:** 404 BONIFAY DR, FOUNTAIN INN, SC 29644-6247
- **Practice address phone:** (347) 255-8255
- **Mailing address:** 9559 BARLETTA WINDS PT, DELRAY BEACH, FL 33446-9712
- **Mailing address phone:** (347) 255-8255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2026
- **Last updated:** 10/05/2026