Provider Demographics
NPI:1043335722
Name:THERAPEUTIC SYSTEMS
Entity Type:Organization
Organization Name:THERAPEUTIC SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMBROGIO
Authorized Official - Suffix:
Authorized Official - Credentials:DOM, AP, PT
Authorized Official - Phone:941-907-9250
Mailing Address - Street 1:7311 MERCHANT CT
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-8489
Mailing Address - Country:US
Mailing Address - Phone:941-907-9250
Mailing Address - Fax:941-907-8280
Practice Address - Street 1:7311 MERCHANT CT
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-8489
Practice Address - Country:US
Practice Address - Phone:941-907-9250
Practice Address - Fax:941-907-8280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK2279OtherFLORIDA MEDICARE PTAN