Provider Demographics
NPI:1043104516
Name:SCORE PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:SCORE PHYSICAL THERAPY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:YAMILET
Authorized Official - Middle Name:CARIDAD
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:321-271-3974
Mailing Address - Street 1:5181 PALMETTO AVE
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32926-2900
Mailing Address - Country:US
Mailing Address - Phone:321-271-3974
Mailing Address - Fax:
Practice Address - Street 1:1635 N COCOA BLVD
Practice Address - Street 2:
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32922-6935
Practice Address - Country:US
Practice Address - Phone:321-380-2404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-06
Last Update Date:2025-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty