MEDICARE: ANCHOR PELVIC PHYSICAL 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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1770349201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANCHOR PELVIC PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	2211 LEE RD STE 210
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-1846
Country	:	US
Telephone Number	:	321-316-6285
Fax Number	:

Provider Business Practice Location Address
First Line	:	2211 LEE RD STE 210
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-1846
Country	:	US
Telephone Number	:	321-316-6285
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	ALEXANDRA DEMERS
Credential	:	DPT
Telephone Number	:	321-216-6285

Provider Enumeration Date	:	02/22/2024
Last Update Date	:	02/22/2024

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