MEDICARE: CARE PHYSICAL THERAPY 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	PT12701	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568970242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	2846 SPRING BREEZE WAY
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-9268
Country	:	US
Telephone Number	:	407-233-7854
Fax Number	:	866-596-4175

Provider Business Practice Location Address
First Line	:	2013 LIVE OAK BLVD STE G
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34771-8410
Country	:	US
Telephone Number	:	407-233-7854
Fax Number	:	866-596-4175

Authorized Official
Title or Position	:	MANAGER
Name	:	SAID ELREBEY
Credential	:	RPT-DPT
Telephone Number	:	407-233-7854

Provider Enumeration Date	:	01/17/2018
Last Update Date	:	11/01/2022

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Directions to “CARE PHYSICAL THERAPY LLC ” Practice Location

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