NPIMap

Organization Active NPI

Einstein Therapy Center, Inc.

  • Clinic/Center
  • Lake City, FL
National Provider Identifier
1598423014
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EINSTEIN THERAPY CENTER, INC.
Practice address
229 SW Main Blvd
Lake City, FL 32025-7049
Phone
(386) 515-3009
Fax
(352) 505-6383
NPI assigned
Dec 1, 2021
Last updated
Dec 1, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
FUNDAMENTAL THERAPY SOLUTIONS LAKE CITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Alicia White
Title
Credentialing Specialist
Phone
(352) 505-6363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

229 SW Main Blvd
Lake City, FL 32025-7049

Mailing address

229 SW Main Blvd
Lake City, FL 32025-7049
Phone (386) 515-3009

National Provider Directory

National Provider Directory
Tax ID family
Fundamental Therapy Solutions9 organizations share this tax ID, including this one
Part of
Fundamental Therapy Solutions

Other organizations with this tax ID 8

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

Locations

229 SW Main Blvd
Lake City, FL 32025
Phone (386) 515-3009

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1598423014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 SW MAIN BLVD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320257049",
            "telephone_number": "386-515-3009",
            "fax_number": "352-505-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 SW MAIN BLVD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320257049",
            "telephone_number": "386-515-3009",
            "fax_number": "352-505-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EINSTEIN THERAPY CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FUNDAMENTAL THERAPY SOLUTIONS LAKE CITY",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CREDENTIALING  SPECIALIST",
        "authorized_official_telephone_number": "352-505-6363"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.