| Envision Physical Therapy, Inc | |
|
956 International Pkwy Ste 1580 Lake Mary FL 32746-5219 | |
| (407) 936-0314 | |
| (407) 936-0316 |
| Full Name | Envision Physical Therapy, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 956 International Pkwy Ste 1580, Lake Mary, Florida |
| Authorized Official Name and Position | Judy Serafin (OWNER) |
| Authorized Official Contact | 3214394594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Physical Therapy, Inc 956 International Pkwy Ste 1580 Lake Mary FL 32746-5219 Ph: (407) 936-0314 | Envision Physical Therapy, Inc 956 International Pkwy Ste 1580 Lake Mary FL 32746-5219 Ph: (407) 936-0314 |
| NPI Number | 1437301025 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 04/03/2023 |
| Medicare PECOS PAC ID | 8921260704 |
|---|---|
| Medicare Enrollment ID | O20120425000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437301025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | PT17963 (Florida) | Primary |
| Provider Name | Stephanie L Baker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134221641 PECOS PAC ID: 8426142357 Enrollment ID: I20070921000588 |
| Provider Name | Stephanie Serafin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295089498 PECOS PAC ID: 8022309269 Enrollment ID: I20160620001395 |
| Provider Name | Nathan Becker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669023941 PECOS PAC ID: 7618305152 Enrollment ID: I20200317001357 |
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