Sport Specific Training And Rehab is a medicare enrolled "Massage Therapist" provider in Orlando, Florida. Their current practice location is
4501 Vineland Rd, Suite 103, Orlando, Florida. You can reach out to their office (for appointments etc.) via phone at
(407) 426-7066.
Sport Specific Training And Rehab is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Sport Specific Training And Rehab
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 1932153517.
Healthcare Provider's Profile
| Full Name | Sport Specific Training And Rehab |
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| Type | Facility |
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| Speciality | Massage Therapist |
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| Location | 4501 Vineland Rd, Orlando, 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: 1932153517
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 08/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 0547368474
- Enrollment ID: O20070531000130
Medical Identifiers
Medical identifiers for Sport Specific Training And Rehab such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932153517 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 2251S0007X | Physical Therapist - Sports | (* (Not Available)) | Primary |
| 225700000X | Massage 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.
Sport Specific Training And Rehab acts as a billing entity for following providers:
| Provider Name | Michael Henkelman |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1831255322
PECOS PAC ID: 5698873511
Enrollment ID: I20070531000064 |
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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. Sport Specific Training And Rehab 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 |
|---|
Sport Specific Training And Rehab
4501 Vineland Rd, Suite 103,
Orlando, FL 32811-7375
Ph: (407) 426-7066 | Sport Specific Training And Rehab
4501 Vineland Rd, Suite 103,
Orlando, FL 32811-7375
Ph: (407) 426-7066 |
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