Roger D Iburg in Pensacola - Physical Therapist

Roger D Iburg - NPI 1063548980

Roger D Iburg is a Physical Therapist in Pensacola, Florida. Roger D Iburg practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Roger D Iburg is 1063548980. The last update date is 2008-05-06.

Roger D Iburg's current location address is 511 Phyllis St, Pensacola, Florida. You can contact this provider via phone number 8504778874 and fax number 8504778865. The mailing address for Roger D Iburg is 511 Phyllis St, Pensacola, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Roger D Iburg
Address 511 Phyllis St, Pensacola, Florida
Phone Number 8504778874
Fax Number 8504778865
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1063548980
Provider Enumeration Date 2007-02-26
Last Updated Date 2008-05-06

Provider Mailing Address Detail

Address 511 Phyllis St
City Pensacola
State Florida (FL)
Post Code 325032024
Phone Number 8504778874
Fax Number 8504778865

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT 4977
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
Y2560 FL BCBS

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FAQs about Roger D Iburg

What is the unique identifier code issued to Roger D Iburg by the Centers for Medicare & Medicaid Services (CMS)?

The Roger D Iburg has been assigned the NPI (National Provider Identifier) 1063548980. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Roger D Iburg?

The Roger D Iburg is situated at 511 Phyllis St, in the city of Pensacola, state of FL, with the zip code 325032024.

What is Roger D Iburg's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Roger D Iburg's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.

On what date did the Roger D Iburg receive its 1063548980 assignment from the Centers for Medicare & Medicaid Services?

The Roger D Iburg was assigned its 1063548980 by the Centers for Medicare & Medicaid Services on 2007-02-26.

As of what date were the details related to Roger D Iburg most recently updated or revised?

The information pertaining to Roger D Iburg, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-06.

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