Organization
BAYSIDE PHYSICAL THERAPY, L.L.C.
Active
Other names
Professional Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE YOVIENE P.T. (PHYSICAL THERAPIST)
(410) 829-5647
Entity
Organization
Contact information
Practice address
33195 LIGHTHOUSE RD, SUITE 7, SELBYVILLE, DE 19975-4071
(302) 436-0901
Mailing address
33195 LIGHTHOUSE RD, SUITE 7, SELBYVILLE, DE 19975-4071
(302) 436-0901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000037489
—
DE
01
—
180CBA
CAREFIRST
MD
01
—
K769
BLUECHOICE
DC
Enumeration date
01/24/2007
Last updated
05/15/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up