Athena Pelvic Therapy is a medicare enrolled "Physical Therapist" provider in Groveland, Florida. Their current practice location is
15430 County Road 565a Ste F, Groveland, Florida. You can reach out to their office (for appointments etc.) via phone at
(352) 449-6906.
Athena Pelvic Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Athena Pelvic Therapy
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1225663107.
Healthcare Provider's Profile
| Full Name | Athena Pelvic Therapy |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 15430 County Road 565a Ste F, Groveland, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225663107
- Provider Enumeration Date: 03/11/2020
- Last Update Date: 08/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 0042624025
- Enrollment ID: O20210203000318
Medical Identifiers
Medical identifiers for Athena Pelvic Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225663107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Athena Pelvic Therapy acts as a billing entity for following providers:
| Provider Name | Juanita Frances Benedict |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1568717312
PECOS PAC ID: 8729235189
Enrollment ID: I20120821000235 |
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| Provider Name | Kimberly Van Liempd |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1780713628
PECOS PAC ID: 2062512155
Enrollment ID: I20220516002899 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Athena Pelvic Therapy is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Athena Pelvic Therapy
1169 Stoneham Dr,
Groveland, FL 34736-8308
Ph: (352) 449-6906 | Athena Pelvic Therapy
15430 County Road 565a Ste F,
Groveland, FL 34736-8235
Ph: (352) 449-6906 |
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