Florencio Cusip Agustin III, PT
Individual provider Active NPI Physical Therapist · Alpena, MI
NPI 1962895136 · NPPES record last updated Mar 12, 2015
Key facts
- NPI
- 1962895136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- P13968 (NC)
- Practice address
- 437 W. Washington Ave
Alpena, MI 49707 - Phone
- (989) 884-2187
- NPI assigned
- Mar 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 5501013657 | MI | MD | Physical Therapist |
| P13968 | NC | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P13968 | NC | Yes |
| Physical Therapist | 225100000X | 5501013657 | MI |
Addresses
Primary practice location
437 W. Washington Ave
Alpena, MI 49707
Mailing address
437 W Washington Ave
Alpena, MI 49707-2738
Other providers in Alpena, MI
- Rachel Achatz
- Connie Joan Adamiak
- Adaptable Therapy Solutions PLLC
- Maria Lynn Addelia
- Samantha Agerton
- Alcona Citizens for Health Inc
- Alcona Citizens for Health, Inc
- Alcona Citizens for Health, Inc
- Alcona Citizens for Health, Inc
- Alcona Citizens for Health, Inc
All providers in Alpena, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2015. 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.