Supreme Therapy, Llc in Lake Mary - Physical Therapist
Supreme Therapy, Llc - NPI 1225143647
Supreme Therapy, Llc is a Physical Therapist in Lake Mary, Florida. Supreme Therapy, Llc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Supreme Therapy, Llc is 1225143647. The last update date is 2020-08-22.
Supreme Therapy, Llc's current location address is 770 Keeneland Pike, Lake Mary, Florida. You can contact this provider via phone number 4073218833 and fax number 4073229966. The mailing address for Supreme Therapy, Llc is 770 Keeneland Pike, Lake Mary, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Supreme Therapy, Llc |
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Address | 770 Keeneland Pike, Lake Mary, Florida |
Phone Number | 4073218833 |
Fax Number | 4073229966 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MANAGING M |
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Authorized Official Name | Claessens Maria Joannes |
Credentials | P.T. |
Telephone Number | 4073218833 |
NPI Number Detail
NPI Number | 1225143647 |
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Provider Enumeration Date | 2006-08-19 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 770 Keeneland Pike |
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City | Lake Mary |
State | Florida (FL) |
Post Code | 327463951 |
Phone Number | 4073218833 |
Fax Number | 4073229966 |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapist |
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Taxonomy | 225100000X |
Licence No | PT16865 |
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
Y066A | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Supreme Therapy, Llc by the Centers for Medicare & Medicaid Services?
The Supreme Therapy, Llc has been issued the NPI (National Provider Identifier) 1225143647 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Supreme Therapy, Llc is physically located?
The Supreme Therapy, Llc is physically situated at the following address: 770 Keeneland Pike, Lake Mary, FL, 327463951.
What is the Supreme Therapy, Llc's specialty and taxonomy code?
The Supreme Therapy, Llc's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225143647 to Supreme Therapy, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1225143647 to Supreme Therapy, Llc on 2006-08-19.
When was the information pertaining to Supreme Therapy, Llc most recently updated or revised?
The details related to Supreme Therapy, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.