Provider Demographics
NPI:1548717622
Name:BIG TIME PHYSICAL THERAPY & REHABILITATION LLC
Entity type:Organization
Organization Name:BIG TIME PHYSICAL THERAPY & REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:WINKLER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:941-224-7310
Mailing Address - Street 1:5969 CATTLERIDGE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-6050
Mailing Address - Country:US
Mailing Address - Phone:941-217-5460
Mailing Address - Fax:941-217-5463
Practice Address - Street 1:5969 CATTLERIDGE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6050
Practice Address - Country:US
Practice Address - Phone:941-217-5460
Practice Address - Fax:941-217-5463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy