Recupery Active Recovery Studio is a medicare enrolled "Physical Therapist" provider in Lake Mary, Florida. Their current practice location is
245 Wheelhouse Ln Ste 1451, Lake Mary, Florida. You can reach out to their office (for appointments etc.) via phone at
(407) 878-0507.
Recupery Active Recovery Studio is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Recupery Active Recovery Studio
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1295372662.
Healthcare Provider's Profile
| Full Name | Recupery Active Recovery Studio |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 245 Wheelhouse Ln Ste 1451, Lake Mary, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1295372662
- Provider Enumeration Date: 12/04/2019
- Last Update Date: 12/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 7012346109
- Enrollment ID: O20200413001296
Medical Identifiers
Medical identifiers for Recupery Active Recovery Studio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295372662 | NPI | - | NPPES |
| 103490700 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Recupery Active Recovery Studio acts as a billing entity for following providers:
| Provider Name | Montana V Ho |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1053703165
PECOS PAC ID: 6204135056
Enrollment ID: I20160428000962 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Recupery Active Recovery Studio is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Recupery Active Recovery Studio
245 Wheelhouse Ln Ste 1451,
Lake Mary, FL 32746-3696
Ph: (407) 878-0507 | Recupery Active Recovery Studio
245 Wheelhouse Ln Ste 1451,
Lake Mary, FL 32746-3696
Ph: (407) 878-0507 |
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