Provider Demographics
NPI:1467569228
Name:PAISIE, ROBERT H (PT,DPT,OCS,MTC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:H
Last Name:PAISIE
Suffix:
Gender:M
Credentials:PT,DPT,OCS,MTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1537
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:43230-1537
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:941-554-8527
Practice Address - Street 1:8340 LAKEWOOD RANCH BLVD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202
Practice Address - Country:US
Practice Address - Phone:941-306-5856
Practice Address - Fax:941-306-5861
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT004651174400000X
FLPT22659225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH04244OtherPARAMOUNT
OH000000157408OtherANTHEM
OH7417696OtherCIGNA
OH04244OtherPARAMOUNT