Provider Demographics
NPI:1669816559
Name:FLAGLER COUNTY THERAPY SPECIALISTS
Entity Type:Organization
Organization Name:FLAGLER COUNTY THERAPY SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ZAPPAS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:386-986-9874
Mailing Address - Street 1:56 RYBERRY DR
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-6439
Mailing Address - Country:US
Mailing Address - Phone:386-986-9874
Mailing Address - Fax:
Practice Address - Street 1:56 RYBERRY DR
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-6439
Practice Address - Country:US
Practice Address - Phone:386-986-9874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT23529225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty