NPIMap

Organization Active NPI

Therapeuticfx, LLC

  • Physical Therapist
  • Arcadia, FL
National Provider Identifier
1942541420
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THERAPEUTICFX, LLC
Practice address
1311 E Oak St
Arcadia, FL 34266-8902
Phone
(863) 491-7055
Fax
(863) 491-7056
NPI assigned
Mar 8, 2013
Last updated
Jun 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Khaled Temraz, DPTNPI 1053410134
Title
Owner
Phone
(863) 491-7055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT 10572 FL

Addresses

Primary practice location

1311 E Oak St
Arcadia, FL 34266-8902

Mailing address

1311 E Oak St
Arcadia, FL 34266-8902
Phone (941) 204-0745

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130530000098 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8426296633 Receives reassigned benefits from 1 practitioner
Practice locations: Punta Gorda, FL

National Provider Directory

National Provider Directory
Tax ID family
Therapeutic FX2 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

1311 E Oak St
Arcadia, FL 34266
Phone (863) 491-7055

522 E Marion Ave
Ste 202
Punta Gorda, FL 33950
Phone (863) 491-7055

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1942541420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 E OAK ST",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668902",
            "telephone_number": "941-204-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 E OAK ST",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668902",
            "telephone_number": "863-491-7055",
            "fax_number": "863-491-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTICFX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-08",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "TEMRAZ",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-491-7055",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 10572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.