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Taxonomy Code, Taxonomy, License Number, License Number State. 1, 225100000X ... HTML format HTML 1316970072 in PDF (Portable Document Format) ...
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How to fill out NPI 1649607722 Agility Physical:

01
Start by gathering the necessary information. You will need the patient's personal details like their name, date of birth, address, and contact information.
02
Next, identify the purpose of the form. In this case, the NPI 1649607722 Agility Physical form is used for physical evaluations and treatments provided by Agility Physical.
03
Fill in the provider information section. This includes details about Agility Physical, such as the name of the organization, address, contact information, and the NPI number.
04
Proceed to the patient information section. Input the patient's name, date of birth, gender, and contact information.
05
Enter the date of the physical evaluation or treatment, as well as any relevant identification numbers or references provided by Agility Physical.
06
Describe the reason for the physical evaluation. This may include the patient's symptoms, medical history, or specific issues they are seeking assistance with.
07
Document the findings of the physical evaluation or treatment. Include relevant information such as assessment results, diagnoses, treatment plans, and recommendations.
08
If necessary, provide any additional notes or comments that are important for the evaluation or treatment.
09
Review the filled form to ensure all the information is accurate and complete.
10
Lastly, sign and date the form to confirm that the information provided is true and accurate to the best of your knowledge.

Who needs NPI 1649607722 Agility Physical:

01
Patients who require physical evaluations or treatments may need the NPI 1649607722 Agility Physical form. This includes individuals seeking assistance from Agility Physical for conditions like musculoskeletal injuries, rehabilitation, pain management, or sports-related concerns.
02
Medical professionals or healthcare providers who collaborate with Agility Physical may also require this NPI. It allows them to refer patients for physical evaluations or treatments provided by Agility Physical.
03
Insurance companies and healthcare organizations may request the NPI 1649607722 Agility Physical form to process claims and verify the services rendered by Agility Physical.
Note: It is crucial to check with Agility Physical or the specific healthcare provider to confirm if this NPI is required for your particular situation or for specific services.
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NPI 1649607722 belongs to Agility Physical, which is a healthcare provider identification number.
Healthcare providers who meet the criteria set by the National Provider Identifier (NPI) regulations are required to file NPI 1649607722 for Agility Physical.
To fill out NPI 1649607722 for Agility Physical, healthcare providers need to visit the NPI registry website and follow the instructions for registration and submission of information.
The purpose of NPI 1649607722 for Agility Physical is to uniquely identify healthcare providers and facilitate electronic transactions in the healthcare industry.
The information reported on NPI 1649607722 for Agility Physical includes provider name, contact information, specialty, practice location, and other relevant details.
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