Bernadette Rollins
Individual provider Active NPI Physical Therapist · Maitland, FL
NPI 1003165283 · NPPES record last updated Sep 5, 2012
Key facts
- NPI
- 1003165283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT1579 (FL)
- Practice address
- 1301 W Maitland Blvd
Maitland, FL 32751-4338 - Phone
- (407) 645-3990
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1579 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Living Rehabilitation Inc | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1579 | FL | Yes |
Addresses
Primary practice location
1301 W Maitland Blvd
Maitland, FL 32751-4338
Mailing address
303 N Hurstbourne Pkwy Ste 200
Louisville, KY 40222-5158
Phone (502) 412-5847
Other providers in Maitland, FL
- Richard G Rodriguez
- Gabriela M Roitman
- Brooke Rojas
- Hannah Sophia Rojas
- Rolando Amadeo Mdpa
- Rebecca T. Rome
- Romeo'S Sensation LLC
- Ashley M. Romero
- Alexis Chloe Ronaldson
- Derryck Winston Adao Roque
All providers in Maitland, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.