MEDICARE: IN-TOWN PHYSICAL THERAPY AND REHABILITATION, 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	261QP2000X	Physical Therapy Clinic/Center	PT5247	FL

General Provider Information

NPI Number	:	1700010451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN-TOWN PHYSICAL THERAPY AND REHABILITATION, INC.

Provider Business Mailing Address
First Line	:	25 S FEDERAL HWY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-3837
Country	:	US
Telephone Number	:	561-346-1773
Fax Number	:	561-533-5441

Provider Business Practice Location Address
First Line	:	25 S FEDERAL HWY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-3837
Country	:	US
Telephone Number	:	561-346-1773
Fax Number	:	561-533-5441

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEPHEN J SYLVESTER
Credential	:	PT
Telephone Number	:	561-346-1773

Provider Enumeration Date	:	05/11/2009
Last Update Date	:	05/11/2009

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