Active NPI
Therapia Inc.
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Neptune Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- License
- 0701372
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203109800 | Other | FL | DEPARTMENT OF LABOR |
| 7664706 | Other | FL | AETNA |
| GF6 | Other | FL | BLUE CROSS BLUE SHIELD |
Other names 1
- Beaches Rehabiltation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Assistant
- Neptune Beach, FL
- NPI 1912316134
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.
-
- Physician Assistant
- Jacksonville, FL
- NPI 1619377744
-
- Physician Assistant
- Jacksonville, FL
- NPI 1316919236
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.