| Clay Physical Therapy Pa | |
|
1626 Sheffield Pl, Orange Park, FL 32073-5268 | |
| (904) 269-7751 | |
| (904) 278-8552 |
| Full Name | Clay Physical Therapy Pa |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1626 Sheffield Pl, Orange Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902075914 | NPI | - | NPPES |
| 678795996 | Other | FL | MEDWAIVER |
| 885134400 | Medicaid | FL | |
| E1907A | Other | FL | MEDICARE INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT0014414 (Florida) | Primary |
| Provider Name | Laurie Vallone Shimko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659357705 PECOS PAC ID: 0143269092 Enrollment ID: I20060404000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Clay Physical Therapy Pa Po Box 505, Orange Park, FL 32067-0505 Ph: (904) 269-7751 | Clay Physical Therapy Pa 1626 Sheffield Pl, Orange Park, FL 32073-5268 Ph: (904) 269-7751 |
Cindy Guo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Park Ave, Orange Park, FL 32073 Phone: 904-278-7890 | |
Susan Murray, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 839 Westminster Dr, Orange Park, FL 32073 Phone: 904-276-0938 Fax: 904-276-4785 | |
Renee Lehosit, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 Kingsley Ave, Orange Park, FL 32073 Phone: 904-215-8600 | |
Nedzad Cavka, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2300 Park Ave, Suite 203, Orange Park, FL 32073 Phone: 904-634-0640 Fax: 904-634-0203 | |
Crystle Taiyo Kearley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1675 Eagle Harbor Pkwy, Orange Park, FL 32003 Phone: 904-637-0148 | |
Susan I Murray Pa Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 839 Westminster Dr, Orange Park, FL 32073 Phone: 904-376-5194 | |
Josephine Kaidy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Park Ave, Orange Park, FL 32073 Phone: 904-278-7890 |