Healthcare Provider Details

I. General information

NPI: 1588859409
Provider Name (Legal Business Name): C.H.O.O.S.E. PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2007
Last Update Date: 11/19/2021
Certification Date: 11/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29605 US HIGHWAY 19 N STE 150
CLEARWATER FL
33761-1538
US

IV. Provider business mailing address

29605 US HIGHWAY 19 N. CRITERION CENTER SUITE 150
CLEARWATER FL
33761-3142
US

V. Phone/Fax

Practice location:
  • Phone: 727-797-7600
  • Fax: 727-797-7655
Mailing address:
  • Phone: 727-797-7600
  • Fax: 727-797-7655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMY W WELSH
Title or Position: MANAGER
Credential: MS PT, OCS
Phone: 727-797-7600