Organization Active NPI

Therapia Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Neptune Beach, FL
National Provider Identifier
1174674451
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
0701372 Issued in FL
Legal business name
THERAPIA INC.
Practice address
700 3Rd St
Suite 202
Neptune Beach, FL 32266-5072
Phone
(904) 249-5020
Fax
(904) 241-7777
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Anya Johnson
Title
Owner
Phone
(904) 249-5020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 0701372 FL Primary

Addresses

Primary practice location

700 3Rd St
Suite 202
Neptune Beach, FL 32266-5072

Mailing address

1015 Atlantic Blvd # 214
Atlantic Beach, FL 32233-3313
Phone (904) 249-5020

Other identifiers 3

IdentifierTypeStateIssuer
203109800OtherFLDEPARTMENT OF LABOR
7664706OtherFLAETNA
GF6OtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Beaches Rehabiltation Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030723000021 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 9436060233 Practice locations: Jacksonville, FL; Lake City, FL; Ponte Vedra Beach, FL

National Provider Directory

National Provider Directory
Tax ID family
Beaches Rehabilitation Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11808 San Jose Blvd
Ste 1
Jacksonville, FL 32223
Phone (904) 262-2249

510 Airport Center Dr
Ste 109
Jacksonville, FL 32218
Phone (904) 636-0055

2377 Dunn Ave
Ste 2A
Jacksonville, FL 32218
Phone (904) 751-0501

9860 Beach Blvd
Ste 2
Jacksonville, FL 32246

1361 13th Ave S
Ste 160170
Jacksonville, FL 32250

10232 San Jose Blvd
Ste 1
Jacksonville, FL 32257

806 3rd St
Ste Cd
Neptune Beach, FL 32266
Phone (904) 247-2727

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1174674451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 ATLANTIC BLVD # 214",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322333313",
            "telephone_number": "904-249-5020",
            "fax_number": "904-241-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 3RD ST",
            "address_2": "SUITE 202",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322665072",
            "telephone_number": "904-249-5020",
            "fax_number": "904-241-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPIA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-249-5020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": "0701372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "203109800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7664706",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "GF6",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaches Rehabiltation Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Neptune Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.