| Innovative Physical Therapy | |
|
232 Canal Blvd Ste 2, Ponte Vedra Beach, FL 32082-3744 | |
| (904) 280-2002 | |
| Not Available |
| Full Name | Innovative Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 232 Canal Blvd Ste 2, Ponte Vedra Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891483202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (NU) | Primary |
| Provider Name | Youngchan Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053962936 PECOS PAC ID: 1153763396 Enrollment ID: I20240520003616 |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Physical Therapy 157 Spanish Creek Dr, Ponte Vedra, FL 32081-6170 Ph: Not Available | Innovative Physical Therapy 232 Canal Blvd Ste 2, Ponte Vedra Beach, FL 32082-3744 Ph: (904) 280-2002 |
Alexandra Arnold, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6 Fairfield Blvd Ste 6, Ponte Vedra Beach, FL 32082 Phone: 904-996-6922 Fax: 904-996-6923 |
Emma Taormina, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 465 Town Plaza Ave Ste B, Ponte Vedra Beach, FL 32081 Phone: 904-222-3780 |
Stephen Williamson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 465 Town Plaza Ave Ste B, Ponte Vedra Beach, FL 32081 Phone: 904-222-3780 |
Justin Stuart Gee Ming Ma, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Fairfield Blvd, Ponte Vedra Beach, FL 32082 Phone: 904-996-6922 |
Brian Wesley Gupton, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 880 A1a N, Ste 18a, Ponte Vedra Beach, FL 32082 Phone: 904-778-7501 Fax: 904-778-7504 |
Sarah Marie Dodds, OTR/L Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 163 Quadrille Way, Ponte Vedra Beach, FL 32082 Phone: 904-571-2965 |
Scoliosisptjax Physical Therapist Medicare: Medicare Enrolled Practice Location: 13000 Sawgrass Village Cir Ste 14, Ponte Vedra Beach, FL 32082 Phone: 904-881-7612 Fax: 770-872-8294 |