Provider Demographics
NPI:1528248077
Name:ALL ABOUT THERAPY SERVICES INC
Entity type:Organization
Organization Name:ALL ABOUT THERAPY SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY NEIL
Authorized Official - Middle Name:VITERBO
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:863-599-1880
Mailing Address - Street 1:501 E SUGARLAND HWY
Mailing Address - Street 2:
Mailing Address - City:CLEWISTON
Mailing Address - State:FL
Mailing Address - Zip Code:33440-3210
Mailing Address - Country:US
Mailing Address - Phone:863-983-9979
Mailing Address - Fax:863-983-5655
Practice Address - Street 1:501 E SUGARLAND HWY
Practice Address - Street 2:
Practice Address - City:CLEWISTON
Practice Address - State:FL
Practice Address - Zip Code:33440-3210
Practice Address - Country:US
Practice Address - Phone:863-983-9979
Practice Address - Fax:863-983-5655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT20447225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY929AOtherBLUE CROSS BLUE SHIELD
FLAH923Medicare PIN