Physical Therapy Rehab

Restricted

Physical Therapy Rehab is subject to Restricted. See the individual lists below.

View Citation

Country

United States

Addresses

Address 1 : 207 4TH STREET, S E

Address 2 : 207 4TH ST., SE , FT. WALTON BEACH , Florida , United States , 32549

Address 3 : 3970 W FLAGLER ST, STE 20

Address 4 : 3970 WEST FLAGLER ST., SUITE 202 , MIAMI , Florida , United States , 33134

ID Details

ID NUMBER : 1104904168

ID TYPE : NPI number

ID NUMBER : S4MR3MDC6

ID TYPE : SAM Number

ID NUMBER : S4MR3MGJY

ID TYPE : SAM Number

View Notes

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Physical Therapy Rehab Sanctioned By Below Authorities

List Name	List Authority	Effective Date ▼	Status
Medicaid Provider Sanctions List by Iowa Department of Human Services	The Iowa Department of Human Services	Oct 15, 2021	active
General List of Individuals/Entities Excluded from Federal Health and Medicare Programs	U.S. Department of Health and Human Services	Oct 20, 1999	active
U.S. General Services Administration (GSA) Parties Excluded	U.S. General Services Administration (GSA)	May 2, 1998	active