MEDICARE: LITTLE DOODS THERAPY

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1447980743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE DOODS THERAPY

Provider Business Mailing Address
First Line	:	2400 FEATHER SOUND DR APT 1031
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33762-3094
Country	:	US
Telephone Number	:	770-362-0854
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 FEATHER SOUND DR APT 1031
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33762-3094
Country	:	US
Telephone Number	:	770-362-0854
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	DR. LANCE BAYER
Credential	:	PT, DPT, CSCS
Telephone Number	:	770-362-0854

Provider Enumeration Date	:	06/10/2022
Last Update Date	:	06/10/2022

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Directions to “LITTLE DOODS THERAPY ” Practice Location

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