PRIZM HEALTHCARE SERVICES PA (NPI# 1558917484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558917484 |
| Entity Type | Organization |
| Organization Name | PRIZM HEALTHCARE SERVICES PA |
| Practice Address |
229 Golden Oaks Ln St Augustine FL 32080-6111 |
| Practice Telephone | 6614767051 |
| Practice Fax Number | 9044718569 |
| Mailing Telephone | 9048066403 |
| Mailing Fax Number | 9044718569 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | WILLIAM REGAN (PRESIDENT AND DIRECTOR) |
| Authorized Official Telephone | 9048066403 |
| Authorized Official Credential | PHYSICAL THERAPI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
229 GOLDEN OAKS LN |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32080-6111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972165223 | William Regan | Physical Therapist | 229 Golden Oaks Ln, St Augustine, FL 32080-6111 | 2019-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659991925 | Healthy Minds Psychological Services, LLC | Psychologist | 825 Kalli Creek Lane, Saint Augustine, FL 32080 | 2020-04-16 |
| 1215456629 | Sidney Leigh Thomas | Specialist/Technologist | 976 Saltwater Circle, St. Augustine, FL 32080 | 2017-09-18 |
| 1285164855 | Mary Patricia Pichan | Speech-Language Pathologist | 2870 Peachtree Rd. #293, Atlanta, GA 32080 | 2017-06-15 |
| 1962947325 | Joseph Costine | Behavior Technician | 205 7th St. Apt.b, St. Augustine, FL 32080 | 2016-12-21 |
| 1437605177 | Jenifer Long | Social Worker | 1301 Plantation Island Drive South, Suite 201a, St Augustine, FL 32080 | 2016-09-01 |
| 1205207420 | Ana Greenberger | Nurse Practitioner | 1301 Plantation Island Dr S Ste 401, Saint Augustine, FL 32080 | 2015-10-14 |
| 1598037202 | Dana Elizabeth Jones | Occupational Therapist | 3 Hannah Cole Dr., St. Augustine, FL 32080 | 2012-01-27 |
| 1205159423 | Chesapeake Hyperbaric Lc | Clinic/Center | 129 Seagrove Main Street, Unit 202, St. Augustine, FL 32080 | 2010-03-02 |
| 1306176037 | Barros Family Healthcare Pa | Clinic/Center | 1301 Plantation Island Dr. South 102b, St. Augustine, FL 32080 | 2009-12-31 |
| 1609041995 | Tommy D Murphy | Specialist | 403 Anastasia Blvd., St. Augustine, FL 32080 | 2008-04-28 |
| Find all providers in zip 32080 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518470293 | Remedy Physiorooms LLC | Clinic/Center | 55 Medio Dr, St Augustine, FL 32095-6718 | 2017-11-16 |
| 1215215157 | Patricia A Taruski Pt Pa | Clinic/Center | 855 S Holmes Blvd, St Augustine, FL 32084-8347 | 2011-07-26 |
| 1811143282 | P3t LLC | Clinic/Center | 121 Orchis Rd, St Augustine, FL 32086-6521 | 2008-08-17 |
| 1871981308 | Pain Solutions & Physical Therapy, Inc. | Clinic/Center | 100 Whetstone Pl, Suite 208, St Augustine, FL 32086-5774 | 2015-01-06 |
| 1952625162 | Physical Intelligence St. Augustine | Clinic/Center | 180 Marine St, St Augustine, FL 32084-5153 | 2010-03-16 |
| 1457485344 | Genesis Bodywork LLC | Clinic/Center | 4075 A1a S, Suite 105, St Augustine, FL 32080-6773 | 2007-03-15 |
| 1023106127 | Bodywise Studios, Inc. | Clinic/Center | 2706 Old Moultrie Rd, St Augustine, FL 32086-5447 | 2006-10-11 |
| 1003823709 | First Coast Physical Therapy Inc | Clinic/Center | 252 Southpark Cir E, St Augustine, FL 32086-5137 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942742 | Restore Pelvic Health & Rehab LLC | Clinic/Center | 301 E Yamato Rd Ste 1240, Boca Raton, FL 33431-4931 | 2020-11-03 |
| 1558962019 | Ldg Medical Center LLC | Clinic/Center | 4485 Stirling Rd, Davie, FL 33314-7517 | 2020-11-02 |
| 1255930855 | Tideline Sports Performance & Rehabilitation LLC | Clinic/Center | 5261 Paylor Ln, Lakewood Ranch, FL 34240-2203 | 2020-10-23 |
| 1578162780 | Fourth Trimester Wellness LLC | Clinic/Center | 711 Chancellar Dr, Lutz, FL 33548-4512 | 2020-10-19 |
| 1306445754 | Concierge Rehab Inc | Clinic/Center | 1045 E Heritage Club Cir, Delray Beach, FL 33483-3483 | 2020-10-17 |
| 1689272627 | Ucdm Services Inc | Clinic/Center | 12030 Sw 129th Ct Ste 103, Miami, FL 33186-4584 | 2020-10-12 |
| 1902404163 | Frontline Physical Therapy | Clinic/Center | 8655 Bayou Way N, Pinellas Park, FL 33782-4549 | 2020-10-11 |
| 1891393138 | Venice Physical Therapy and Sports Medicine | Clinic/Center | 1776 S Tamiami Trl, Venice, FL 34293-1602 | 2020-10-09 |
| 1750988812 | Angeles Medical Center,inc. | Clinic/Center | 8725 Nw 18th Ter Ste 403, Doral, FL 33172-2610 | 2020-10-02 |
| 1740887967 | Neuro Thrive LLC | Clinic/Center | 1963 Ne Felicita Pl, Jensen Beach, FL 34957-5756 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | ST AUGUSTINE |
| Zip Code | 32080 |
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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.