Advanced Physical Therapy INC

Physical Therapist in Palm Bay, FL. Organization (NPI-2).

NPI number1376597849

StatusActive

Last updated in NPPESJan 11, 2012

Details

NPI: 1376597849
Entity type: Organization (NPI-2)
Legal business name: Advanced Physical Therapy INC
Organization subpart: No
Enumeration date: May 20, 2006
Last updated: Jan 11, 2012

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
225100000X	Physical Therapist	PT 5799	FL	Yes

Practice location

6050 Babcock St Se
Suite 5
Palm Bay, FL 32909-3996

Phone 321-676-2055 · Fax 321-676-9928

Mailing address

6050 Babcock St Se
Suite 5
Palm Bay, FL 32909-3996

Phone 321-676-2055 · Fax 321-676-9928

Authorized official

Bruce R Wills
Physical Therapist/Owner
3216762055

Is something wrong?

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Other Physical Therapist providers in Palm Bay, FL

All 36 Physical Therapist providers in Palm Bay · All 1,789 providers in Palm Bay

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