Acupuncture and Physical Therapy Specialists, Inc.
Organization Active NPI Physical Therapist · Orange City, FL
NPI 1720155997 · NPPES record last updated Sep 15, 2023
Key facts
- NPI
- 1720155997
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT7339 (FL)
- Legal business name
- ACUPUNCTURE AND PHYSICAL THERAPY SPECIALISTS, INC.
- Practice address
- 2501 S Volusia Ave Ste 200
Orange City, FL 32763-9134 - Phone
- (386) 774-6333
- Fax
- (386) 410-1603
- NPI assigned
- Nov 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Menn-Li Lin, P.T.
- Title
- Chief Financial Manager
- Phone
- (386) 774-6333
Practitioners 24
-
Menn Li Lin, P.T
-
Pei-Wen Liao, LAC
-
Charng-Shen Wang, P.T., A.P.
-
Gritchalach Phophutthaprasit, AP, DOM
-
Chy-Ching Chuang, PT
-
Nadezhda Filipova,, AP, DOM
-
Ramon Gutierrez, A.P.
-
Ryoko Haraoka Elzey, A.P.
-
Scott Shannon Harp, PT, DPT, PHD
-
Hsiao-Wen Huang, LAC
-
Tyler Daniel Hurt, AP DOM
-
Lidelis D Lira, AP & LMT
-
Kaiwu Mondello, AP, DOM
-
Hosanna Sebastian, LAC
-
Michel Van Thielen, PT, AP, OMD
-
Pei-CHI Yen, D.O.M., A.P.
-
Howard Chiu, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080519000266 | FL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1254389208 |
Receives reassigned benefits from 4 practitioners Practice locations: Ormond Beach, FL; Port Orange, FL; Orange City, FL; Mount Dora, FL; Leesburg, FL; Lake Mary, FL; Deland, FL |
National Provider Directory
Locations
1893 N Clyde Morris Blvd
Bldg 2
Daytona Beach, FL 32117
Phone (386) 615-4800
929 N Spring Garden Ave
Ste 155
Deland, FL 32720
Phone (386) 873-2285
746 Stirling Center Pl
Ste 1108
Lake Mary, FL 32746
Phone (407) 878-7791
620 S Lake St
Ste 3
Leesburg, FL 34748
Phone (352) 435-7323
3739 Lake Center Dr
Mount Dora, FL 32757
Phone (352) 729-2290
18810 US Highway 441
Mount Dora, FL 32757
Phone (352) 729-2290
160 N Causeway
New Smyrna Beach, FL 32169
161 N Causeway
New Smyrna Beach, FL 32169
161 N Causeway
Ste D
New Smyrna Beach, FL 32169
Phone (386) 428-6660
2501 S Volusia Ave
Orange City, FL 32763
Phone (386) 744-6333
305 Clyde Morris Blvd
Ste 250
Ormond Beach, FL 32174
Phone (386) 615-4800
4649 Clyde Morris Blvd
Unit 603
Port Orange, FL 32129
Phone (386) 868-2005
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist |
171100000X | AP2096 | FL | |
| Acupuncturist |
171100000X | AP544 | FL | |
| Acupuncturist |
171100000X | AP2900 | FL | |
| Acupuncturist |
171100000X | AP2976 | FL | |
| Acupuncturist |
171100000X | AP3608 | FL | |
| Physical Therapist |
225100000X | PT7299 | FL | |
| Physical Therapist |
225100000X | PT22574 | FL | |
| Physical Therapist |
225100000X | PT7339 | FL | Yes |
| Physical Therapist |
225100000X | PT9087 | FL | |
| Physical Therapist |
225100000X | PT29612 | FL | |
| Physical Therapist |
225100000X | PT27376 | FL | |
| Physical Therapist |
225100000X | PT25562 | FL |
Addresses
Primary practice location
2501 S Volusia Ave Ste 200
Orange City, FL 32763-9134
Mailing address
PO Box 953925
Lake Mary, FL 32795-3925
Phone (386) 774-6333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2381853 | Other | FL | GROUP |
| 1869541 | Other | FL | GROUP |
| Y923L | Other | FL | GROUP BCBS PO |
| Y926B | Other | FL | GROUP BCBS OB |
| Y923D | Other | FL | GROUP BCBS OC |
| CH2068 | Other | FL | GROUP |
| K1325 | Other | FL | PTAN |
| 014966000 | Medicaid | FL |
Other names
- American Rehab Connections
NPI Registry JSON
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694736000000",
"number": "1720155997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 953925",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327953925",
"telephone_number": "386-774-6333",
"fax_number": "386-410-1603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 S VOLUSIA AVE STE 200",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327639134",
"telephone_number": "386-774-6333",
"fax_number": "386-410-1603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACUPUNCTURE AND PHYSICAL THERAPY SPECIALISTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A",
"authorized_official_last_name": "LIN",
"authorized_official_first_name": "MENN-LI",
"authorized_official_title_or_position": "CHIEF FINANCIAL MANAGER",
"authorized_official_telephone_number": "386-774-6333",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP2096",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP544",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP2900",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP2976",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP3608",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT7299",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT22574",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT7339",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT9087",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT29612",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT27376",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT25562",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP",
"identifier": "2381853",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP",
"identifier": "1869541",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP BCBS PO",
"identifier": "Y923L",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP BCBS OB",
"identifier": "Y926B",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP BCBS OC",
"identifier": "Y923D",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP",
"identifier": "CH2068",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "K1325",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014966000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "American Rehab Connections",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "American Rehab Connections",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orange City, FL
- Accardi Clinical Services Inc
- Accord Specialty LLC
- Accord Specialty LLC
- Accord Specialty LLC
- Derrick Acosta
- Ryan Bryce Adamcik
- Krista Ashlyn Adams
- Michiah Adams
- Addiction Treatment Advocates
- Addiction Treatment Advocates
All providers in Orange City, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.