PRO MOTION THERAPY OF LAKE CITY LLC (NPI# 1538358585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538358585 |
| Entity Type | Organization |
| Organization Name | PRO MOTION THERAPY OF LAKE CITY LLC |
| Other Organization Name | FYZICAL, LAKE CITY |
| Practice Address |
945 Sw Main Blvd Lake City FL 32025-5746 |
| Practice Telephone | 3867553164 |
| Mailing Telephone | 3867553164 |
| Mailing Fax Number | 3867553165 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2019-11-15 |
| Authorized Official Name | MRS. MELINDA SGANGA (MANAGER) |
| Authorized Official Telephone | 3867553164 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PTAN | 6083580001 | 01 |
| Other Name | Type Code |
|---|---|
| FYZICAL, Lake city | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1438 Sw Main Blvd, Lake City, FL 320251106 | 3867553164 | 3867553165 |
| 5080 Newberry Rd Ste 2a, Gainesville, FL 326072251 | 3523252276 | 3528774580 |
| Street Address |
945 SW MAIN BLVD |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-5746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821635210 | Wrane Xavier White | Clinic/Center | 945 Sw Main Blvd, Lake City, FL 32025-5746 | 2019-12-04 |
| 1780221275 | Randi Williams | Clinic/Center | 945 Sw Main Blvd, Lake City, FL 32025-5746 | 2019-12-04 |
| 1295371045 | Jessica Jenkins | Clinic/Center | 945 Sw Main Blvd, Lake City, FL 32025-5746 | 2019-11-26 |
| 1124664966 | Andrew Baker | Clinic/Center | 945 Sw Main Blvd, Lake City, FL 32025-5746 | 2019-11-26 |
| 1013559731 | Joshua Timmons | Physical Therapy Assistant | 945 Sw Main Blvd, Lake City, FL 32025-5746 | 2019-10-14 |
| 1881241560 | Meredith Gardner | Physical Therapist | 945 Sw Main Blvd, Lake City, FL 32025-5746 | 2019-08-19 |
| 1871140558 | Taylor J Sansone | Physical Therapist | 945 Sw Main Blvd, Lake City, FL 32025-5746 | 2019-08-19 |
| 1073801262 | Pro Motion Therapy of Lake City | Physical Therapist | 945 Sw Main Blvd, Lake City, FL 32025 | 2011-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572148 | Marqus Ellery Fisher | Physical Medicine & Rehabilitation | 289 Sw Stonegate Ter Ste 101, Lake City, FL 32024-3457 | 2020-09-10 |
| 1225069040 | Pee Dee Physical Therapy, Inc. | Physical Medicine & Rehabilitation | 414 West Main St, Lake City, SC 29560 | 2006-07-06 |
| 1154979557 | Branden M Roberts | Physical Medicine & Rehabilitation | 1301 W Main St, Lake City, IA 51449-1585 | 2019-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031272 | Optimal Rehab Care, LLC | Physical Medicine & Rehabilitation | 872 Woodside Rd, Maitland, FL 32751-5134 | 2020-10-21 |
| 1952900243 | New Beginnings Medical and Rehabilitation Center Inc | Physical Medicine & Rehabilitation | 13501 Sw 128th St Unit 201-202, Miami, FL 33186-5882 | 2020-10-19 |
| 1821605866 | Victoria Franco | Physical Medicine & Rehabilitation | 8921 Edgewater Bnd, Parkland, FL 33076-4563 | 2020-09-24 |
| 1447864806 | Goran Andonovski | Physical Medicine & Rehabilitation | 3108 Santa Barbara Blvd Ste D, Cape Coral, FL 33914-4537 | 2020-09-03 |
| 1770194656 | Maria Jose Gamboa | Physical Medicine & Rehabilitation | 8020 Cleary Blvd Apt 207, Plantation, FL 33324-1349 | 2020-08-13 |
| 1609486067 | Elizabeth Pereira | Physical Medicine & Rehabilitation | 4925 Grande Dr, Pensacola, FL 32504-8965 | 2020-07-31 |
| 1790393874 | Np Health of Fl LLC | Physical Medicine & Rehabilitation | 27794 Autumn Breeze Cir, Wesley Chapel, FL 33544-7839 | 2020-07-15 |
| 1144847138 | Pohlman Pain Associates LLC | Physical Medicine & Rehabilitation | 5341 Atlantic Ave Ste 302, Delray Beach, FL 33484-8166 | 2020-06-25 |
| 1316563661 | Brooke Marshall | Physical Medicine & Rehabilitation | 2300 Jenks Ave Ste C, Lynn Haven, FL 32444-5469 | 2020-06-23 |
| 1134741309 | Peresha Danielle Barr | Physical Medicine & Rehabilitation | 20158 Nw 58th Pl, Hialeah, FL 33015-4959 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
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| 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.