Provider Demographics
NPI:1184711962
Name:BIERNOT, ROBERT (DPT)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:BIERNOT
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5901 US HIGHWAY 27 SOUTH
Mailing Address - Street 2:SUITE 10
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-2117
Mailing Address - Country:US
Mailing Address - Phone:863-314-9991
Mailing Address - Fax:863-314-0057
Practice Address - Street 1:5901 US HIGHWAY 27 SOUTH
Practice Address - Street 2:SUITE 10
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-2117
Practice Address - Country:US
Practice Address - Phone:863-314-9991
Practice Address - Fax:863-314-0057
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT4952225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL629678OtherANTHEM, GRP PT #
FLY904TOtherBCBSFL GRP #
FL650025796Medicare ID - Type UnspecifiedMEDICARE RAILROAD, IND.#
FLY904TOtherBCBSFL GRP #