Provider Demographics
NPI:1689851065
Name:PHYSICAL THERAPY TO YOU LLC
Entity Type:Organization
Organization Name:PHYSICAL THERAPY TO YOU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:561-213-8809
Mailing Address - Street 1:1030 KOKOMO KEY LN
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-6033
Mailing Address - Country:US
Mailing Address - Phone:561-213-8809
Mailing Address - Fax:561-276-8985
Practice Address - Street 1:1030 KOKOMO KEY LN
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-6033
Practice Address - Country:US
Practice Address - Phone:561-213-8809
Practice Address - Fax:561-276-8985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK6471Medicare PIN