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:
Map and Directions
Authorized official contact:
Name: Shimko, Laurie Vallone PHYSICAL THERAPIST
Phone: (904) 269-7751

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902075914 NPPES
Florida Other 678795996 MEDWAIVER
Florida MEDICAID 885134400 MEDWAIVER
Florida Other E1907A MEDWAIVER

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