MEDICARE: AT HOME PT SERVICES 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	251E00000X	Home Health Agency	PT0002384	FL

General Provider Information

NPI Number	:	1699969683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AT HOME PT SERVICES LLC

Provider Business Mailing Address
First Line	:	25211 ROLAND LN
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33955-4219
Country	:	US
Telephone Number	:	954-554-5803
Fax Number	:

Provider Business Practice Location Address
First Line	:	25211 ROLAND LN
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33955-4219
Country	:	US
Telephone Number	:	954-554-5803
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	SUSAN T. SITZBERGER
Credential	:	PT
Telephone Number	:	954-554-5803

Provider Enumeration Date	:	09/01/2007
Last Update Date	:	12/10/2014

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Directions to “AT HOME PT SERVICES LLC ” Practice Location

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