Pro Motion Therapy Of Lake City Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Gainesville, Florida. Their current practice location is
4423 Nw 6th Pl Ste C, Gainesville, Florida. You can reach out to their office (for appointments etc.) via phone at
(352) 325-2276.
Pro Motion Therapy Of Lake City Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pro Motion Therapy Of Lake City 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 1538358585.
Healthcare Provider's Profile
| Full Name | Pro Motion Therapy Of Lake City Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 4423 Nw 6th Pl Ste C, Gainesville, 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: 1538358585
- Provider Enumeration Date: 10/16/2007
- Last Update Date: 08/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 7113000514
- Enrollment ID: O20080606000654
Medical Identifiers
Medical identifiers for Pro Motion Therapy Of Lake City Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538358585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (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.
Pro Motion Therapy Of Lake City Llc acts as a billing entity for following providers:
| Provider Name | Sarah Janning |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1164175972
PECOS PAC ID: 6204220775
Enrollment ID: I20220225001906 |
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| Provider Name | Andrea Jernigan |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1831572411
PECOS PAC ID: 8527445949
Enrollment ID: I20220524001152 |
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| Provider Name | Mitchell Robbins |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1851998900
PECOS PAC ID: 2264893353
Enrollment ID: I20230807000240 |
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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. Pro Motion Therapy Of Lake City 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 |
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Pro Motion Therapy Of Lake City Llc
Po Box 632670,
Cincinnati, OH 45263-2670
Ph: (702) 818-5000 | Pro Motion Therapy Of Lake City Llc
4423 Nw 6th Pl Ste C,
Gainesville, FL 32607-6116
Ph: (352) 325-2276 |
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