Therapy Source Llc is a
Early Intervention Provider Agency based in Jacksonville, Florida. Therapy Source Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
3311 Beach Blvd, Jacksonville, Florida. It can be reached at their office (for appointments etc.) via phone at
(904) 396-1462.
NPI number for Therapy Source Llc is 1245437359 and their current mailing address is 3311 Beach Blvd, Jacksonville, Florida. Therapy Source Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1245437359.
Healthcare Provider's Profile
| Full Name | Therapy Source Llc |
|---|
| Type | Facility |
|---|
| Speciality | Early Intervention Provider Agency |
|---|
| Location | 3311 Beach Blvd, Jacksonville, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1245437359
- Provider Enumeration Date: 07/02/2007
- Last Update Date: 10/17/2007
Medical Identifiers
Medical identifiers for Therapy Source Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245437359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (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. Therapy Source Llc 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 |
|---|
Therapy Source Llc
3311 Beach Blvd,
Jacksonville, FL 32207-3704
Ph: (904) 396-1462 | Therapy Source Llc
3311 Beach Blvd,
Jacksonville, FL 32207-3704
Ph: (904) 396-1462 |
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