AGILITY PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC (AGILITY PHYSICAL THERAPY OF ENGLEWOOD) - NPI NUMBER 1649607722
Provider Name: AGILITY PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC (AGILITY PHYSICAL THERAPY OF ENGLEWOOD)
NPI Number: 1649607722
Clasification: Physical Therapist (225100000X)
400 S INDIANA AVE
Phone Number: (941) 474-0419
AGILITY PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC is a physical therapist in Englewood, FL. The provider is (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT�s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient�s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. The assigned NPI number for this provider is 1649607722 and is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Agility Physical Therapy Of Englewood.
The provider's business address is:
400 S INDIANA AVE
Phone: (941) 474-0419
Fax: (941) 474-0547
The provider's authorized official is Alan D Dalton .
The authorized official title is Owner/manager and has the following contact phone number (941) 484-8107.
The enumeration date for this NPI number is 10/3/2013 and was last updated on 10/3/2013.
Map - Location of Practice
||RACHEL RELAO, RPT
||MR. ERIC BRYAN SCHWARTZ, MPT
Physical Therapist (Orthopedic)
||KIM CHANNING DAHLBY, PT
||MICHAEL WILLARD HUDSON, PT
||MR. TODD DOUGLAS BOTTENFIELD, RPT
Physical Therapist (Orthopedic)
||MR. JULIAN CARTERA CUEVAS, RPT
The following information regarding the scope of practice of this provider is available:
||The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
||Entity Type Code
||Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
||Employer Identification Number EIN
||The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
||Provider Organization Name Legal Business Name
||AGILITY PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC
||The name of the organization provider. If the provider is an organization, this is the legal business name.
||Provider Other Organization Name
||AGILITY PHYSICAL THERAPY OF ENGLEWOOD
||Other name by which the organization provider is or has been known.
||Provider Other Organization Name Type Code
||Code identifying the type of other name. Codes are: 1 = former name; 2 = professional
name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
||Provider First Line Business Practice Location Address
||400 S INDIANA AVE
||The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
||Provider Business Practice Location Address City Name
||The city name in the location address of the provider being identified.
||Provider Business Practice Location Address State Name
||The State code in the location of the provider
||Provider Business Practice Location Address Postal Code
||The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
||Provider Business Practice Location Address Country Code If outside U S
||The country code in the location address of the provider being identified.
||Provider Business Practice Location Address Telephone Number
||The telephone number associated with the location address of the provider being identified.
||Provider Business Practice Location Address Fax Number
||The fax number associated with the location
address of the provider being identified.
||Provider Enumeration Date
||The date the provider was assigned a unique identifier (assigned an NPI).
||Last Update Date
||The date that a record was last updated or changed.
||Authorized Official Last Name
||The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
||Authorized Official First Name
||The first name of the authorized official.
||Authorized Official Middle Name
||The middle name of the authorized official.
||Authorized Official Title or Position
||The title or position of the authorized official.
||Authorized Official Telephone Number
||The 10-position telephone number of the authorized official.
||Healthcare Provider Taxonomy Code 1
||Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
||Healthcare Provider Primary Taxonomy Switch 1
||Is Organization Subpart
||Authorized Official Name Prefix Text
||Authorized Official Credential Text
||Healthcare Provider Taxonomy Group 1
||193200000X MULTI-SPECIALTY GROUP
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This page was last updated on: 3/10/2015
(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule
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