MEDICARE: THERAPIST ON THE GO LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	224Z00000X	Occupational Therapy Assistant
2	225200000X	Physical Therapy Assistant
3	225X00000X	Occupational Therapist
4	235Z00000X	Speech-Language Pathologist
5	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1851621833
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPIST ON THE GO LLC

Provider Business Mailing Address
First Line	:	5367 PENWAY DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32814-6716
Country	:	US
Telephone Number	:	714-580-4304
Fax Number	:	407-629-8600

Provider Business Practice Location Address
First Line	:	2301 LEE RD
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-1749
Country	:	US
Telephone Number	:	714-580-4304
Fax Number	:	407-629-8600

Authorized Official
Title or Position	:	PHYSICAL THERAPIST/ OWNER
Name	:	MS. TESSA J CARBALLO SCHARF
Credential	:	P.T.
Telephone Number	:	714-580-4304

Provider Enumeration Date	:	01/13/2010
Last Update Date	:	09/02/2010

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Directions to “THERAPIST ON THE GO LLC ” Practice Location

Language	Start Address	Practice Location

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