Sarah Eiseman

Individual provider Active NPI Physical Therapy Assistant · Heathrow, FL

NPI 1811291198 · NPPES record last updated Dec 31, 2010

Key facts

NPI
1811291198
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
22361 (FL)
Practice address
1485 International Pkwy
2051
Heathrow, FL 32746-5303
Phone
(800) 798-6035
NPI assigned
Dec 31, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
22361FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Voyage Staffing Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 22361 FL Yes

Addresses

Primary practice location

1485 International Pkwy
2051
Heathrow, FL 32746-5303

Mailing address

1002 S Bunker Hill Rd
Sparta, TN 38583-6615

Other providers in Heathrow, FL

All providers in Heathrow, FL · Physical Therapy Assistant in Florida

Sources for this page

Verify at the official NPI Registry.