MEDICARE: PHYSICAL THERAPY ON DEMAND LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1386469625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICAL THERAPY ON DEMAND LLC

Provider Business Mailing Address
First Line	:	320 HIGH TIDE DR STE 101A
Second Line	:
City	:	ST AUGUSTINE
State	:	FL
Zip	:	32080-2324
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 HIGH TIDE DR STE 101A
Second Line	:
City	:	ST AUGUSTINE
State	:	FL
Zip	:	32080-2324
Country	:	US
Telephone Number	:	904-599-6812
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TODD BALL
Credential	:	PT
Telephone Number	:	904-599-6812

Provider Enumeration Date	:	11/21/2024
Last Update Date	:	11/21/2024

Similar Medicare Providers

1841125655 — BETTER HEALTH COMPOUNDING PHARMACIES LLC
Practice Location Address:

320 HIGH TIDE DR
SAINT AUGUSTINE, FL
32080-2324

Practice Phone: 904-990-4363
Practice Fax:

1003882150 — DR. KAJAL DASGUPTA M.D.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1881646115 — MS. MELISSA RYAN STRAUSS P.A.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1962977306 — SAINT AUGUSTINE HOSPITALISTS PRIMARY CARE
Practice Location Address:

1000 PLANTATION ISLAND DR S STE 9
ST AUGUSTINE, FL
32080-3106

Practice Phone: 904-460-9191
Practice Fax: 904-471-4859

Directions to “PHYSICAL THERAPY ON DEMAND LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.