| Blue Water Therapy Inc | |
|
916 N Dixie Fwy New Smyrna Beach FL 32168-6220 | |
| (386) 426-7885 | |
| (866) 239-9013 |
| Full Name | Blue Water Therapy Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 916 N Dixie Fwy, New Smyrna Beach, Florida |
| Authorized Official Name and Position | Sandra M Huggard (OWNER) |
| Authorized Official Contact | 3864267885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Water Therapy Inc 916 N Dixie Fwy New Smyrna Beach FL 32168-6220 Ph: (386) 426-7885 | Blue Water Therapy Inc 916 N Dixie Fwy New Smyrna Beach FL 32168-6220 Ph: (386) 426-7885 |
| NPI Number | 1538409966 |
|---|---|
| Provider Enumeration Date | 02/21/2013 |
| Last Update Date | 02/12/2025 |
| Medicare PECOS PAC ID | 4082850813 |
|---|---|
| Medicare Enrollment ID | O20130423000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538409966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jennifer A Lutzyk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366535551 PECOS PAC ID: 8022083294 Enrollment ID: I20040831000949 |
| Provider Name | Michelle L Reynolds |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922199926 PECOS PAC ID: 7719064815 Enrollment ID: I20080415000514 |
| Provider Name | Sandra M Huggard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073604005 PECOS PAC ID: 0345486171 Enrollment ID: I20130423000130 |
| Provider Name | Bonnie L Jenkins-brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225269806 PECOS PAC ID: 6406148840 Enrollment ID: I20160706000627 |
| Provider Name | Lori Ann Child |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437298346 PECOS PAC ID: 0244476059 Enrollment ID: I20210226001513 |
| Provider Name | Kimberly L Conlon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730756594 PECOS PAC ID: 6002288701 Enrollment ID: I20230206002389 |
Greg J. Mercurio, Md, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1720 State Road 44, New Smyrna Beach, FL 32168 Phone: 386-427-8008 Fax: 386-402-4309 | |
Metcare Of Florida Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1722 State Road 44, New Smyrna Beach, FL 32168 Phone: 386-428-3241 Fax: 986-427-8440 | |
Russell E. Perry, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Palmetto St Ste A, New Smyrna Beach, FL 32168 Phone: 386-423-1212 Fax: 386-423-5730 | |
Mark K Nagrani Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 612 Palmetto St, New Smyrna Beach, FL 32168 Phone: 386-423-5500 Fax: 800-813-9164 | |
Idc Of Volusia, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Palmetto St, New Smyrna Beach, FL 32168 Phone: 386-410-4981 Fax: 386-410-4982 | |
Better Life Medical Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1704 State Road 44, New Smyrna Beach, FL 32168 Phone: 386-402-4147 | |
South Volusia Medical Assoc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 S Dixie Fwy, New Smyrna Beach, FL 32168 Phone: 386-426-8600 Fax: 386-426-6090 |