Healthworks of Lake City, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT17329 Issued in FL

Legal business name

HEALTHWORKS OF LAKE CITY, INC.

Practice address

1206 SW Main Blvd
Ste 101
Lake City, FL 32025-6684

Phone

(386) 752-1652

Fax

(386) 752-0939

NPI assigned

Jun 16, 2005

Organization subpart

No

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

Authorized official

Name

Michael A Beardsley, PTNPI 1427279736

Title

Owner/Administrator

Phone

(386) 752-1652

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Healthworks Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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

• Michael A Beardsley, P.T.

  • Specialist
  • Lake City, FL
  • NPI 1427279736
  Medicare reassignment Care Compare group NPD Authorized official
• Arlene Borland, OTR/L

  • Specialist
  • Lake City, FL
  • NPI 1750776662
  Medicare reassignment Care Compare group NPD
• Poonam Sharma Adhikari, PT

  • Physical Therapist
  • Lake City, FL
  • NPI 1871161117
  NPD
• Yaneisy Sanchez, LMT

  • Massage Therapist
  • Lake City, FL
  • NPI 1871416545
  NPD (past)
• Ayanna Smith, LMT

  • Massage Therapist
  • Lake City, FL
  • NPI 1891630992
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1245235183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 SW MAIN BLVD",
            "address_2": "STE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256684",
            "telephone_number": "386-752-1652",
            "fax_number": "386-752-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 SW MAIN BLVD",
            "address_2": "STE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256684",
            "telephone_number": "386-752-1652",
            "fax_number": "386-752-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWORKS OF LAKE CITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "BEARDSLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "386-752-1652",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "PT17329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "Y7572",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthworks Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Hayton, LCSW
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• Renee Head
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• Healthcore Inc
• Hearing Care Resources, Inc.
• Hearing Solutions Inc
• Heartland Womens Health Center P a
• Stephen Helvey, RPH
• Ronnie Hembree

• Specialist in Lake City, FL
• Providers in Lake City, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.