Integra Therapeutic Massage, Llc is a
Clinic/center - Physical Therapy based in Orange Park, Florida. Integra Therapeutic Massage, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
1871 Wells Rd Ste 300, Orange Park, Florida. It can be reached at their office (for appointments etc.) via phone at
(904) 612-4588.
NPI number for Integra Therapeutic Massage, Llc is 1376159178 and their current mailing address is 8257 Seven Mile Dr, Ponte Vedra Beach, Florida. Integra Therapeutic Massage, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1376159178.
Healthcare Provider's Profile
| Full Name | Integra Therapeutic Massage, Llc |
|---|
| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 1871 Wells Rd Ste 300, Orange Park, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376159178
- Provider Enumeration Date: 09/17/2020
- Last Update Date: 09/18/2020
Medical Identifiers
Medical identifiers for Integra Therapeutic Massage, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376159178 | NPI | - | NPPES |
| PT10897 | Other | FL | STATE OF FLORIDA DEPARTMENT OF HEALTH |
| 1174800221 | Medicaid | FL | |
| 1285070532 | Medicaid | FL | |
| PT6934 | Other | FL | STATE OF FLORIDA DEPARTMENT OF HEALTH |
| PT8535 | Other | FL | STATE OF FLORIDA DEPARTMENT OF HEALTH |
| PTA27875 | Other | FL | STATE OF FLORIDA DEPARTMENT OF HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
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. Integra Therapeutic Massage, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Integra Therapeutic Massage, Llc
8257 Seven Mile Dr,
Ponte Vedra Beach, FL 32082-3132
Ph: (904) 612-4588 | Integra Therapeutic Massage, Llc
1871 Wells Rd Ste 300,
Orange Park, FL 32073-2350
Ph: (904) 612-4588 |
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