MEDICARE: PHYSIOWORKS INC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	R6D	OTHER	FL	BCBS FL PROVIDER #

General Provider Information

NPI Number	:	1528015047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSIOWORKS INC

Provider Business Mailing Address
First Line	:	836 SUNSET LAKE BLVD
Second Line	:	SUITE 201
City	:	VENICE
State	:	FL
Zip	:	34292-7554
Country	:	US
Telephone Number	:	941-497-1737
Fax Number	:	941-497-7889

Provider Business Practice Location Address
First Line	:	836 SUNSET LAKE BLVD
Second Line	:	SUITE 201
City	:	VENICE
State	:	FL
Zip	:	34292-7554
Country	:	US
Telephone Number	:	941-497-1737
Fax Number	:	941-497-7889

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANTHONY FUS JR.
Credential	:	DPT
Telephone Number	:	941-497-1737

Provider Enumeration Date	:	05/29/2006
Last Update Date	:	07/24/2024

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Directions to “PHYSIOWORKS INC ” Practice Location

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