Integra Therapeutic Massage, Llc
LBN: Integra Therapeutic Massage, Llc
Integra Therapeutic Massage, Llc is an health care organization with primary practice located at 1871 Wells Rd Ste 300 , Orange Park FL 32073-2350. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Physical Therapy. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty.
Integra Therapeutic Massage, Llc can be contacted via phone (904) 612-4588, or through Tan, Darlene via phone (904) 612-4588.
Contact Information
Primary practice address
1871 Wells Rd Ste 300
Orange Park FL 32073-2350
Phone: (904) 612-4588
Fax: (904) 260-3011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X |
Profile Details
| NPI number | 1376159178 |
|---|---|
| LBN Legal business name | Integra Therapeutic Massage, Llc |
| DBA Doing business as | |
| Authorized official | Tan, Darlene ESQ |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 17th, 2020 |
| Last updated | Sep 18th, 2020 - about 5 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 | 1376159178 | NPPES |
| Florida | Other | PT10897 | STATE OF FLORIDA DEPARTMENT OF HEALTH |
| Florida | MEDICAID | 1174800221 | STATE OF FLORIDA DEPARTMENT OF HEALTH |
| Florida | MEDICAID | 1285070532 | STATE OF FLORIDA DEPARTMENT OF HEALTH |
| Florida | Other | PT6934 | STATE OF FLORIDA DEPARTMENT OF HEALTH |
| Florida | Other | PT8535 | STATE OF FLORIDA DEPARTMENT OF HEALTH |
| Florida | Other | PTA27875 | STATE OF FLORIDA DEPARTMENT OF HEALTH |
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