Provider Demographics
NPI:1366656282
Name:PHYSICAL THERAPY 4 U INC
Entity type:Organization
Organization Name:PHYSICAL THERAPY 4 U INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:BOTTENFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:941-697-7737
Mailing Address - Street 1:PO BOX 1174
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34295-1174
Mailing Address - Country:US
Mailing Address - Phone:941-697-7737
Mailing Address - Fax:941-697-1688
Practice Address - Street 1:2961 PLACIDA RD
Practice Address - Street 2:STE 11
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34224-8525
Practice Address - Country:US
Practice Address - Phone:941-697-7737
Practice Address - Fax:941-697-1688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL11482261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL915754OtherUNIVERSAL HEALTHCARE
FLP00071384OtherRAILROAD MEDICARE
FL1053314914OtherTODD BOTTENFIELD NPI
FL6656660OtherAETNA
FLY043TOtherBLUE CROSS PROVIDER ID
FL64-01818OtherUNITED HEALTHCARE PROV ID
FL1053314914OtherTODD BOTTENFIELD NPI
FL6656660OtherAETNA