Basic Information
| Provider Information | |||||||||
| NPI: | 1396076188 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TOTAL THERAPY SOLUTIONS OF SIESTA KEY LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5700 MIDNIGHT PASS RD | ||||||||
| Address2: | STE 6 | ||||||||
| City: | SARASOTA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342423083 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9413469000 | ||||||||
| FaxNumber: | 9413469646 | ||||||||
| Practice Location | |||||||||
| Address1: | 5700 MIDNIGHT PASS RD | ||||||||
| Address2: | STE 6 | ||||||||
| City: | SARASOTA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342423083 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9413469000 | ||||||||
| FaxNumber: | 9413469646 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/19/2010 | ||||||||
| LastUpdateDate: | 01/19/2010 | ||||||||
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| AuthorizedOfficialLastName: | OCHSENDORF | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
| AuthorizedOfficialMiddleName: | T | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICAL THERAPIST | ||||||||
| AuthorizedOfficialTelephone: | 9413469000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2000X | 21853 | FL | Y | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |
No ID Information.