Provider Demographics
NPI:1972676773
Name:AURORA PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:AURORA PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:CHLEBINA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:941-486-0590
Mailing Address - Street 1:1037 US HIGHWAY 41 BYP S
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-4343
Mailing Address - Country:US
Mailing Address - Phone:941-486-0590
Mailing Address - Fax:941-486-0592
Practice Address - Street 1:1037 US 41 BYPASS S
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-4343
Practice Address - Country:US
Practice Address - Phone:941-486-0590
Practice Address - Fax:941-486-0592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT12818261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY7671OtherBCBS
FLY7671OtherBCBS