MEDICARE: TOTAL THERAPY SOLUTIONS OF SIESTA KEY 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	21853	FL

General Provider Information

NPI Number	:	1396076188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL THERAPY SOLUTIONS OF SIESTA KEY LLC

Provider Business Mailing Address
First Line	:	5700 MIDNIGHT PASS RD
Second Line	:	STE 6
City	:	SARASOTA
State	:	FL
Zip	:	34242-3083
Country	:	US
Telephone Number	:	941-346-9000
Fax Number	:	941-346-9646

Provider Business Practice Location Address
First Line	:	5700 MIDNIGHT PASS RD
Second Line	:	STE 6
City	:	SARASOTA
State	:	FL
Zip	:	34242-3083
Country	:	US
Telephone Number	:	941-346-9000
Fax Number	:	941-346-9646

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	DAVID T OCHSENDORF
Credential	:	PT
Telephone Number	:	941-346-9000

Provider Enumeration Date	:	01/19/2010
Last Update Date	:	01/19/2010

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