PALM COAST SPORTS MEDICINE AND REHAB (NPI# 1932376555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932376555 |
| Entity Type | Organization |
| Organization Name | PALM COAST SPORTS MEDICINE AND REHAB |
| Practice Address |
35 Old Kings Rd N Palm Coast FL 32137-8227 |
| Practice Telephone | 3864455555 |
| Practice Fax Number | 3864459800 |
| Mailing Telephone | 3864455555 |
| Mailing Fax Number | 3864459800 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | MS. EDITH LYNN (ADMINISTRATOR) |
| Authorized Official Telephone | 3864455555 |
| Authorized Official Credential | OT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 0010163 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 4154 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | SA6443 | FL | Speech, Language and Hearing Service Providers |
| Y | 225X00000X | Occupational Therapist | 1549 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
35 OLD KINGS RD N |
| City | PALM COAST |
| State | FL |
| Zip Code | 32137-8227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427133891 | Rural Therapy Services of Florida Inc | Specialist | 35 Old Kings Rd N, Palm Coast, FL 32137-8227 | 2006-10-26 |
| 1649715509 | Michelle Anne Duenas | Physical Therapist | 35 Old Kings Rd N, Palm Coast, FL 32137-8227 | 2017-01-03 |
| 1215115258 | Carey Tyner | Speech-Language Pathologist | 35 Old Kings Rd N, Palm Coast, FL 32137-8227 | 2008-02-01 |
| 1083895080 | Maureen A Mcclernon | Physical Therapist | 35 Old Kings Rd N, Palm Coast, FL 32137-8227 | 2007-11-19 |
| 1891976890 | Carmen Maria Defalco | Physical Therapist | 35 Old Kings Rd N, Palm Coast, FL 32137-8227 | 2007-11-19 |
| 1255512257 | Edith Elizabeth Mccoy | Occupational Therapist | 35 Old Kings Rd N, Palm Coast, FL 32137 | 2007-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617505 | Palm Coast Alf Management LLC | Assisted Living Facility | 3830 Old Kings Road, Palm Coast, FL 32137 | 2020-07-29 |
| 1093324964 | Akilah Collins | Behavior Technician | 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 | 2020-07-27 |
| 1750929477 | Jeanette Ann Stevens | Technician | 1 Lema Place, Palm Coast, FL 32137 | 2019-12-12 |
| 1649816919 | Patrick Meyer | Occupational Therapy Assistant | 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 | 2019-11-21 |
| 1689230385 | Coastal Care Medical Transport | Non-emergency Medical Transport (VAN) | #2b, 1 Hargrove Grde, Palm Coast, FL 32137 | 2019-05-17 |
| 1407357437 | Palm Coast Counseling, LLC | Counselor | 1 Hargrove Grade, Ste B-1, Palm Coast, FL 32137 | 2018-02-25 |
| 1679081459 | Lance J Langston | Behavior Technician | 2 Crosstie Ct, Palm Coast, FL 32137 | 2018-01-16 |
| 1407360712 | Hanna Mercedes Brown | Behavior Technician | 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 | 2017-11-22 |
| 1760994511 | Sophia's Choice Hands That Help, LLC | Custodial Care Facility | 119 Bud Hollow Dr, Palm Coast, FL 32137 | 2017-11-02 |
| 1922543255 | Megan Katherine Dickerson | Physical Therapist | 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 | 2016-12-22 |
| Find all providers in zip 32137 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255943320 | Jessica Frykberg Vogel | Occupational Therapist | 250 Palm Coast Pkwy Ne Unit 209, Palm Coast, FL 32137-8289 | 2020-08-20 |
| 1780222554 | Jennia Sarnowski | Occupational Therapist | 9 Pine Cone Dr Ste 104a, Palm Coast, FL 32137-8683 | 2019-12-12 |
| 1417517350 | Pt Solutions of Pensacola LLC | Occupational Therapist | 5860 E State Highway 100 Unit 100, Palm Coast, FL 32164-2424 | 2019-06-13 |
| 1356803928 | Alyssa Talalai | Occupational Therapist | 2 Echo Sands Pl, Palm Coast, FL 32164-6338 | 2019-04-03 |
| 1558825414 | Eloise Johnston | Occupational Therapist | 8 Fairmont Ln, Palm Coast, FL 32137-9151 | 2019-01-24 |
| 1467963009 | Alyssa Stansfield | Occupational Therapist | 4863 Palm Coast Pkwy Nw Unit 3, Palm Coast, FL 32137-3665 | 2017-10-23 |
| 1366817124 | Pete Adelstein | Occupational Therapist | 38 Karat Path, Palm Coast, FL 32164-5670 | 2015-12-04 |
| 1003167347 | Laurie A. Bulus | Occupational Therapist | 146 Boulder Rock Dr, Palm Coast, FL 32137-8533 | 2012-09-26 |
| 1780963801 | Christopher J Britt | Occupational Therapist | 10 Buttercup Pl, Palm Coast, FL 32137-9417 | 2011-08-07 |
| 1811283963 | Ashley Lynn Clerkin | Occupational Therapist | 49 Westfield Ln, Palm Coast, FL 32164-4043 | 2011-06-27 |
| Find all providers in PALM COAST | ||||
| City | PALM COAST |
| Zip Code | 32137 |
Please comment or provide details below to improve the information on PALM COAST SPORTS MEDICINE AND REHAB.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.