Serenity Source Physical Therapy, Chiropractic&massage Pllc is a
Physical Medicine & Rehabilitation based in Blue Point, New York. Serenity Source Physical Therapy, Chiropractic&massage Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is
18 Weeks St Ste A, Blue Point, New York. It can be reached at their office (for appointments etc.) via phone at
(631) 404-7073.
NPI number for Serenity Source Physical Therapy, Chiropractic&massage Pllc is 1093117202 and their current mailing address is 18 Weeks St Ste A, Blue Point, New York. Serenity Source Physical Therapy, Chiropractic&massage Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1093117202.
Healthcare Provider's Profile
| Full Name | Serenity Source Physical Therapy, Chiropractic&massage Pllc |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 18 Weeks St Ste A, Blue Point, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093117202
- Provider Enumeration Date: 09/18/2014
- Last Update Date: 09/18/2014
Medical Identifiers
Medical identifiers for Serenity Source Physical Therapy, Chiropractic&massage Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093117202 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
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. Serenity Source Physical Therapy, Chiropractic&massage Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Serenity Source Physical Therapy, Chiropractic&massage Pllc
18 Weeks St Ste A,
Blue Point, NY 11715-1513
Ph: (631) 404-7073 | Serenity Source Physical Therapy, Chiropractic&massage Pllc
18 Weeks St Ste A,
Blue Point, NY 11715-1513
Ph: (631) 404-7073 |
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