Active Lifestyles Wellness & Performance Ctr in Vero Beach - Physical Therapist
Active Lifestyles Wellness & Performance Ctr - NPI 1154378875
Active Lifestyles Wellness & Performance Ctr is a Physical Therapist in Vero Beach, Florida. Active Lifestyles Wellness & Performance Ctr practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Active Lifestyles Wellness & Performance Ctr is 1154378875. The last update date is 2018-02-13.
Active Lifestyles Wellness & Performance Ctr's current location address is 1715 37th Pl, Vero Beach, Florida. You can contact this provider via phone number 7729787379 and fax number 7725398515. The mailing address for Active Lifestyles Wellness & Performance Ctr is 1715 37th Pl, Vero Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Active Lifestyles Wellness & Performance Ctr |
|---|---|
| Address | 1715 37th Pl, Vero Beach, Florida |
| Phone Number | 7729787379 |
| Fax Number | 7725398515 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Res G Giorgio |
| Credentials | D.C., P.T. |
| Telephone Number | 7729787379 |
NPI Number Detail
| NPI Number | 1154378875 |
|---|---|
| Provider Enumeration Date | 2006-05-28 |
| Last Updated Date | 2018-02-13 |
Provider Mailing Address Detail
| Address | 1715 37th Pl |
|---|---|
| City | Vero Beach |
| State | Florida (FL) |
| Post Code | 329604502 |
| Phone Number | 7729787379 |
| Fax Number | 7725398515 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT22446 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60994 | FL | BCBS- DR. RES | |
| 77915 | FL | BCBS GROUP # |
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What is the unique 10-digit identification code issued to Active Lifestyles Wellness & Performance Ctr by the Centers for Medicare & Medicaid Services?
The Active Lifestyles Wellness & Performance Ctr has been assigned the NPI (National Provider Identifier) 1154378875 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Active Lifestyles Wellness & Performance Ctr located?
The Active Lifestyles Wellness & Performance Ctr is located at 1715 37Th Pl, Vero Beach, FL 329604502.
What is the area of specialization for Active Lifestyles Wellness & Performance Ctr, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Active Lifestyles Wellness & Performance Ctr is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
On what date was the 1154378875 assigned to Active Lifestyles Wellness & Performance Ctr?
The Active Lifestyles Wellness & Performance Ctr was issued its 1154378875 on 2006-05-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Active Lifestyles Wellness & Performance Ctr's details last updated?
The information pertaining to the Active Lifestyles Wellness & Performance Ctr, including its address, specialty, and other details, was most recently updated on 2018-02-13.