| Emerge Tx Llc | |
|
225 N Clifton Ave Ste 5 Louisville KY 40206-2438 | |
| (260) 200-3825 | |
| Not Available |
| Full Name | Emerge Tx Llc |
|---|---|
| Speciality | Occupational Therapist |
| Location | 225 N Clifton Ave Ste 5, Louisville, Kentucky |
| Authorized Official Name and Position | Tudor Panta (FOUNDER & CEO) |
| Authorized Official Contact | 2602003825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerge Tx Llc 5534 Saint Joe Rd Fort Wayne IN 46835-3328 Ph: () - | Emerge Tx Llc 225 N Clifton Ave Ste 5 Louisville KY 40206-2438 Ph: (260) 200-3825 |
| NPI Number | 1568272524 |
|---|---|
| Provider Enumeration Date | 01/11/2025 |
| Last Update Date | 03/28/2025 |
| Medicare PECOS PAC ID | 8729500517 |
|---|---|
| Medicare Enrollment ID | O20250321000884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568272524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 225XN1300X | Occupational Therapist - Neurorehabilitation | (* (Not Available)) | Primary |
| Provider Name | Tudor Panta |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679383046 PECOS PAC ID: 9638691421 Enrollment ID: I20250321001325 |
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