Provider Demographics
NPI:1558378448
Name:HAUSER, MICHAEL F (PT)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:F
Last Name:HAUSER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4445 HIGHWAY A1A
Mailing Address - Street 2:STE 125
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-5443
Mailing Address - Country:US
Mailing Address - Phone:772-794-1234
Mailing Address - Fax:772-794-7890
Practice Address - Street 1:1285 36TH STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6587
Practice Address - Country:US
Practice Address - Phone:772-794-1234
Practice Address - Fax:772-794-7890
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT00018268225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
605839500OtherDEPARTMENT OF LABOR
FLY8172OtherBCBS OF FLORIDA
154779XXOtherPREFERRED CARE
4693550001OtherDME POS
650017103OtherRR MEDICARE
K1110OtherFLORIDA MEDICARE GROUP
110475OtherVYTRA HEALTHCARE
154779XXOtherPREFERRED CARE
4693550001OtherDME POS