Palatka Physical Therapy Llc

LBN: Palatka Physical Therapy Llc
Palatka Physical Therapy Llc is an health care organization with primary practice located at 3715 Crill Ave , Palatka FL 32177-9168. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Palatka Physical Therapy Llc can be contacted via phone (913) 387-0679, or through Frisvold, John Miles via phone (913) 387-0679.

Contact Information

Primary practice address
3715 Crill Ave Palatka FL 32177-9168
Phone: (913) 387-0679
Fax: (913) 387-0879
Website:
Map and Directions
Authorized official contact:
Name: Frisvold, John Miles Physical Therapist (PT)
Phone: (913) 387-0679

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1619169661
LBN Legal business name Palatka Physical Therapy Llc
DBA Doing business as
Authorized official Frisvold, John Miles Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2007
Last updated Apr 18th, 2008 - about 17 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 1619169661 NPPES
Florida Other 1810605 AETNA HMO
Florida Other 9120138 AETNA HMO

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