Provider Demographics
NPI:1588859409
Name:C.H.O.O.S.E. PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:C.H.O.O.S.E. PHYSICAL THERAPY LLC
Other - Org Name:CHOOSE PHYSICAL THERAPY, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:W
Authorized Official - Last Name:WELSH
Authorized Official - Suffix:
Authorized Official - Credentials:MS PT, OCS
Authorized Official - Phone:727-797-7600
Mailing Address - Street 1:29605 US HIGHWAY 19 N.
Mailing Address - Street 2:CRITERION CENTER SUITE 150
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-3142
Mailing Address - Country:US
Mailing Address - Phone:727-797-7600
Mailing Address - Fax:727-797-7655
Practice Address - Street 1:29605 US HIGHWAY 19 N STE 150
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-1538
Practice Address - Country:US
Practice Address - Phone:727-797-7600
Practice Address - Fax:727-797-7655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1388219OtherMAIL HANDLERS BENEFIT PLAN
FLY931WOtherBLUE CROSS BLUE SHIELD
FL693101OtherUNITED HEALTH CARE
FLDF8003OtherRAIL ROAD MEDICARE
FLY931WOtherBLUE CROSS BLUE SHIELD