Back In Form Physical Therapy Inc.

LBN: Back In Form Physical Therapy Inc.
Back In Form Physical Therapy Inc. is an health care organization with primary practice located at 4445 Highway A1A Suite 125, Vero Beach FL 32963-5405. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Back In Form Physical Therapy Inc. can be contacted via phone (772) 231-3676, or through Hauser, Michael via phone (772) 231-3676.

Contact Information

Primary practice address
4445 Highway A1A Suite 125 Vero Beach FL 32963-5405
Phone: (772) 231-3676
Fax: (772) 231-3670
Website:
Map and Directions
Authorized official contact:
Name: Hauser, Michael
Phone: (772) 231-3676

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT18268 Florida

Profile Details

NPI number 1518247873
LBN Legal business name Back In Form Physical Therapy Inc.
DBA Doing business as
Authorized official Hauser, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2011
Last updated Aug 18th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518247873 NPPES
Florida Other PT18268 STATE LICENSE
Florida Other PT18370 STATE LICENSE

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