Clay Physical Therapy Pa
LBN: Clay Physical Therapy Pa
Clay Physical Therapy Pa is an health care organization with primary practice located at 1626 Sheffield Pl , Orange Park FL 32073-5268. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Clay Physical Therapy Pa can be contacted via phone (904) 269-7751, or through Shimko, Laurie Vallone via phone (904) 269-7751.
Contact Information
Primary practice address
1626 Sheffield Pl
Orange Park FL 32073-5268
Phone: (904) 269-7751
Fax: (904) 278-8552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT0014414 | Florida |
Profile Details
| NPI number | 1902075914 |
|---|---|
| LBN Legal business name | Clay Physical Therapy Pa |
| DBA Doing business as | |
| Authorized official | Shimko, Laurie Vallone PHYSICAL THERAPIST |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 23rd, 2008 |
| Last updated | Oct 5th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902075914 | NPPES |
| Florida | Other | 678795996 | MEDWAIVER |
| Florida | MEDICAID | 885134400 | MEDWAIVER |
| Florida | Other | E1907A | MEDWAIVER |
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