Provider Demographics
NPI:1730211095
Name:PHYSIOTHERAPY ASSOCIATES
Entity type:Organization
Organization Name:PHYSIOTHERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GROUP DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:SPECHT
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:407-226-3339
Mailing Address - Street 1:6651 VINELAND RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-7838
Mailing Address - Country:US
Mailing Address - Phone:407-226-3339
Mailing Address - Fax:407-226-3534
Practice Address - Street 1:6651 VINELAND RD
Practice Address - Street 2:SUITE 130
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7838
Practice Address - Country:US
Practice Address - Phone:407-226-3339
Practice Address - Fax:407-226-3534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT20384261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy