Intracoastal Physical Therapy, Llc in Melbourne - Physical Therapist
Intracoastal Physical Therapy, Llc - NPI 1962483370
Intracoastal Physical Therapy, Llc is a Physical Therapist in Melbourne, Florida. Intracoastal Physical Therapy, Llc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Intracoastal Physical Therapy, Llc is 1962483370. The last update date is 2020-08-22.
Intracoastal Physical Therapy, Llc's current location address is 308 S Harbor City Blvd, Melbourne, Florida. You can contact this provider via phone number 3219512416 and fax number 3219512077. The mailing address for Intracoastal Physical Therapy, Llc is 308 S Harbor City Blvd, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Intracoastal Physical Therapy, Llc |
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Address | 308 S Harbor City Blvd, Melbourne, Florida |
Phone Number | 3219512416 |
Fax Number | 3219512077 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Thompson Karl Matthew |
Credentials | RPT |
Telephone Number | 3219512416 |
NPI Number Detail
NPI Number | 1962483370 |
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Provider Enumeration Date | 2005-11-11 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 308 S Harbor City Blvd |
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City | Melbourne |
State | Florida (FL) |
Post Code | 329011500 |
Phone Number | 3219512416 |
Fax Number | 3219512077 |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapist |
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Taxonomy | 225100000X |
Definition: 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 per |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
Y902W | FL | BLUE CROSS/BLUE SHIELD GR |
Post Comment/ Review Below
What is the unique provider identifier assigned to Intracoastal Physical Therapy, Llc?
The Intracoastal Physical Therapy, Llc has been issued the NPI (National Provider Identifier) 1962483370 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Intracoastal Physical Therapy, Llc is physically located?
The Intracoastal Physical Therapy, Llc is physically situated at the following address: 308 S Harbor City Blvd, Melbourne, FL, 329011500.
What is Intracoastal Physical Therapy, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Intracoastal Physical Therapy, Llc is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.
On what date did the Intracoastal Physical Therapy, Llc receive the assignment of its 1962483370 from the Centers for Medicare & Medicaid Services?
The Intracoastal Physical Therapy, Llc was issued its 1962483370 by the Centers for Medicare & Medicaid Services on 2005-11-11.
As of what date were the details related to Intracoastal Physical Therapy, Llc most recently updated or revised?
The information pertaining to Intracoastal Physical Therapy, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.