Brenda Vansalisbury (NPI# 1750347431, PAC ID# 4880865062) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1750347431 |
| PAC ID by PECOS | 4880865062 |
| Professional Enrollment ID | I20110920000186 |
| Full Name | Brenda Vansalisbury |
| Organization Legal Name | FREEDOM REHAB LLC |
| Address |
3545 Massini Ave North Port FL 34286-2412 |
| Phone Number | 9414001505 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 0446557367 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3545 Massini Ave, North Port, FL 34286-2412 | 9414001505 | FREEDOM REHAB LLC |
| Organization Legal Name | FREEDOM REHAB LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael F Stiwich | Physical Therapy | Freedom Rehab LLC | 3545 Massini Ave, North Port, FL 34286-2412 |
| Susan Evans | Occupational Therapy | Freedom Rehab LLC | 3545 Massini Ave, North Port, FL 34286-2412 |
| Street Address |
3545 MASSINI AVE |
| City | NORTH PORT |
| State | FL |
| Zip | 34286-2412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael F Stiwich | Physical Therapy | Freedom Rehab LLC | 3545 Massini Ave, North Port, FL 34286-2412 |
| Susan Evans | Occupational Therapy | Freedom Rehab LLC | 3545 Massini Ave, North Port, FL 34286-2412 |
| City | NORTH PORT |
| Zip Code | 34286 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | NORTH PORT + OCCUPATIONAL THERAPY |
Please comment or provide details below to improve the information on Brenda Vansalisbury.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.