| Organization Name: | BIG PINE PHYSICAL THERAPY, INC. |
| NPI Number: | 1639590078 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RODGER ALEX GLEN EVANS (PHYSICAL THERAPIST) |
| Mailing Address: | 133 Palomino Horse Trl Big Pine Key |
| State: | FL US |
| Postal Code: | 330433359 |
| Phone Number: | 3053044585 |
| Fax Number: | |
| NPI Enumeration Date: | 01/03/2014 |
| NPI Last Update Date: | 05/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 25901 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |