Ted Ryan Landgraf in Melbourne - Physical Therapist

Ted Ryan Landgraf - NPI 1285857904

Ted Ryan Landgraf is a Physical Therapist in Melbourne, Florida. Ted Ryan Landgraf practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Ted Ryan Landgraf is 1285857904. The last update date is 2016-07-18.

Ted Ryan Landgraf's current location address is 709 S Harbor City Blvd, Melbourne, Florida. You can contact this provider via phone number 3217252225 and fax number 3213080635. The mailing address for Ted Ryan Landgraf is 709 S Harbor City Blvd, Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Ted Ryan Landgraf
Address 709 S Harbor City Blvd, Melbourne, Florida
Phone Number 3217252225
Fax Number 3213080635
Sole Proprietor N
Credentials DPT

NPI Number Detail

NPI Number 1285857904
Provider Enumeration Date 2007-04-11
Last Updated Date 2016-07-18

Provider Mailing Address Detail

Address 709 S Harbor City Blvd
City Melbourne
State Florida (FL)
Post Code 329011938
Phone Number 3217252225
Fax Number 3213080635

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 23170
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
Y121Q FL BCBS OF FLORIDA
892788000 FL --

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FAQs about Ted Ryan Landgraf

What is the Ted Ryan Landgraf's unique identification number?

The Ted Ryan Landgraf has been assigned the NPI (National Provider Identifier) Number 1285857904 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Ted Ryan Landgraf is located?

The Ted Ryan Landgraf is situated at the following address: 709 S Harbor City Blvd, Melbourne, FL, 329011938.

What is Ted Ryan Landgraf's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Ted Ryan Landgraf is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.

On what date did the Ted Ryan Landgraf receive the assignment of its 1285857904 from the Centers for Medicare & Medicaid Services?

The Ted Ryan Landgraf was issued its 1285857904 by the Centers for Medicare & Medicaid Services on 2007-04-11.

As of what date was the information regarding Ted Ryan Landgraf, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Ted Ryan Landgraf, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-07-18.

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