Clay Physical Therapy Pa | |
1626 Sheffield Pl, Orange Park, FL 32073-5268 | |
(904) 269-7751 | |
(904) 278-8552 |
Full Name | Clay Physical Therapy Pa |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 1626 Sheffield Pl, Orange Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902075914 | NPI | - | NPPES |
678795996 | Other | FL | MEDWAIVER |
885134400 | Medicaid | FL | |
E1907A | Other | FL | MEDICARE INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT0014414 (Florida) | Primary |
Provider Name | Laurie Vallone Shimko |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659357705 PECOS PAC ID: 0143269092 Enrollment ID: I20060404000668 |
Mailing Address | Practice Location Address |
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Clay Physical Therapy Pa Po Box 505, Orange Park, FL 32067-0505 Ph: (904) 269-7751 | Clay Physical Therapy Pa 1626 Sheffield Pl, Orange Park, FL 32073-5268 Ph: (904) 269-7751 |
Cindy Guo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Park Ave, Orange Park, FL 32073 Phone: 904-278-7890 | |
Susan Murray, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 839 Westminster Dr, Orange Park, FL 32073 Phone: 904-276-0938 Fax: 904-276-4785 | |
Renee Lehosit, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 Kingsley Ave, Orange Park, FL 32073 Phone: 904-215-8600 | |
Nedzad Cavka, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2300 Park Ave, Suite 203, Orange Park, FL 32073 Phone: 904-634-0640 Fax: 904-634-0203 | |
Crystle Taiyo Kearley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1675 Eagle Harbor Pkwy, Orange Park, FL 32003 Phone: 904-637-0148 | |
Susan I Murray Pa Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 839 Westminster Dr, Orange Park, FL 32073 Phone: 904-376-5194 | |
Steven Short, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 540 Kingsley Ave, Orange Park, FL 32073 Phone: 904-264-2156 |