MEDICARE: PHYSICAL THERAPY SERVICES, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	222Z00000X	Orthotist
2	224P00000X	Prosthetist
3	332B00000X	Durable Medical Equipment & Medical Supplies
4	332BC3200X	Customized Equipment (DME)
5	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1942333620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICAL THERAPY SERVICES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 56
Second Line	:
City	:	MANATI
State	:	PR
Zip	:	00674-0056
Country	:	US
Telephone Number	:	787-756-6868
Fax Number	:	787-767-8484

Provider Business Practice Location Address
First Line	:	965 AVE AMERICO MIRANDA
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00921-2801
Country	:	US
Telephone Number	:	787-756-6868
Fax Number	:	787-767-8484

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. MELISSA MALDONADO
Credential	:	RPH,CPOA, CFOM,CDME
Telephone Number	:	787-756-6868

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	10/04/2018

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Directions to “PHYSICAL THERAPY SERVICES, INC. ” Practice Location

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