| Back In Form Physical Therapy Inc. | |
|
4445 Highway A1a, Suite 125, Vero Beach, FL 32963-5405 | |
| (772) 231-3676 | |
| (772) 231-3670 |
| Full Name | Back In Form Physical Therapy Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4445 Highway A1a, Vero Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518247873 | NPI | - | NPPES |
| PT18268 | Other | FL | STATE LICENSE |
| PT18370 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT18268 (Florida) | Primary |
| Provider Name | Michael F Hauser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558378448 PECOS PAC ID: 5193895985 Enrollment ID: I20080605000452 |
| Provider Name | Shannon E Hauser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508871963 PECOS PAC ID: 0446320238 Enrollment ID: I20080605000475 |
| Provider Name | Sarah B Guettler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861007171 PECOS PAC ID: 2961820238 Enrollment ID: I20200918000380 |
| Provider Name | Kaylie Vanessa Lewis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023764974 PECOS PAC ID: 9032505037 Enrollment ID: I20220330002600 |
| Mailing Address | Practice Location Address |
|---|---|
| Back In Form Physical Therapy Inc. 4445 Highway A1a, Suite 125, Vero Beach, FL 32963-5405 Ph: (772) 231-3676 | Back In Form Physical Therapy Inc. 4445 Highway A1a, Suite 125, Vero Beach, FL 32963-5405 Ph: (772) 231-3676 |
Livya Barreirinhas,llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 185 Springline Dr, Vero Beach, FL 32963 Phone: 305-527-4637 | |
Dr. Alec Michael Spano, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 927 Sandpiper Ln, Vero Beach, FL 32963 Phone: 954-226-0027 | |
Powerback Rehabilitation Physical Therapist Medicare: Medicare Enrolled Practice Location: 7955 16th Mnr, C/o Brennity At Vero Beach, Vero Beach, FL 32966 Phone: 772-567-3228 | |
Mrs. Arleen Alvarez Andaya, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1155 8th Pl, Vero Beach, FL 32960 Phone: 772-567-9327 | |
Mr. Fulvio L Sanchez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 787 37th St Ste E100, Vero Beach, FL 32960 Phone: 772-569-9747 Fax: 772-569-9979 | |
Melissa Do Rocio Perez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1705 17th Ave, Vero Beach, FL 32960 Phone: 772-562-6877 | |
Kaylie Vanessa Lewis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4445 Highway A1a Ste 125, Vero Beach, FL 32963 Phone: 772-231-3676 Fax: 772-231-3670 |