Organization
BAY AREA PHYSICAL THERAPY LLC
Active
Other names
BAY AREA PHYSICAL THERAPY, Fitness Quest Bay Area
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE M BARTRUFF (COO)
(941) 739-7828
Entity
Organization
Contact information
Practice address
3657 CORTEZ RD W, SUITE 110, BRADENTON, FL 34210-3198
(941) 739-7828
(941) 739-7838
Mailing address
3657 CORTEZ RD W STE 110, BRADENTON, FL 34210-3171
(941) 739-7828
(941) 739-7838
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2288818
AETNA PROVIDER
FL
01
—
27001
WELLCARE PROVIDER NUMBER
FL
01
—
4011
STAYWELL PROVIDER NUMBER
FL
01
—
650017363
RR MEDICARE UPIN
FL
01
—
DA6508
MCR GROUP NUMBER
FL
01
—
Y909J
BCBS PROVIDER NUMBER
FL
Enumeration date
10/13/2005
Last updated
04/09/2024
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