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BOLLETTIERI SPORTS MEDICINE CENTER NPI 1962574541


NPI Information

NPI: 1962574541
Provider Name: BOLLETTIERI SPORTS MEDICINE CENTER
Classification: Clinic/Center - 261QP2000X
Entity Type: Organization

Specialization: Physical Therapy

Address:
5500 34TH STREET WEST
BRADENTON, FL
ZIP 34210
Phone: (941) 755-0068
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BOLLETTIERI SPORTS MEDICINE CENTER is a physical therapy clinic center in Bradenton, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. BOLLETTIERI SPORTS MEDICINE CENTER NPI is 1962574541. The provider is registered as an organization entity type.

The provider's business location address is:

5500 34TH STREET WEST
BRADENTON, FL
ZIP 34210-506
Phone: (941) 755-0068
Fax: (941) 727-7502

The provider's authorized official is Jay S Frye .
The authorized official title is Managing Partner and has the following contact phone number (941) 755-0068.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 2/16/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2000XClinic/CenterPhysical TherapyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q3BOTHERFLORIDABLUE CROSS BLUE SHIELD FL
25864226-003OTHERFLORIDACIGNA HEALTHCARE
3686503MEDICARE OSCAR/CERTIFICATIONFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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