Integra Therapeutic Massage, Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Orange Park, Florida. Their current practice location is
1871 Wells Rd Ste 300, Orange Park, Florida. You can reach out to their office (for appointments etc.) via phone at
(904) 612-4588.
Integra Therapeutic Massage, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Integra Therapeutic Massage, Llc
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 1376159178.
Healthcare Provider's Profile
| Full Name | Integra Therapeutic Massage, Llc |
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| 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 | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376159178
- Provider Enumeration Date: 09/17/2020
- Last Update Date: 09/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 3971915380
- Enrollment ID: O20201209000131
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
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 |
|---|
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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