Provider Demographics
NPI:1609880012
Name:EKREN PHYSICAL THERAPY SERVICES INC
Entity Type:Organization
Organization Name:EKREN PHYSICAL THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FILIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:EKREN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:727-723-8467
Mailing Address - Street 1:2349 SUNSET POINT RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-1456
Mailing Address - Country:US
Mailing Address - Phone:727-723-8457
Mailing Address - Fax:727-723-8467
Practice Address - Street 1:2349 SUNSET POINT RD
Practice Address - Street 2:SUITE 400
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-1456
Practice Address - Country:US
Practice Address - Phone:727-723-8457
Practice Address - Fax:727-723-8467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6405620OtherUNITED HEALTHCARE
FLQ5UOtherBCBS FL
FL212952OtherMEDICAID HMO
FLRS5OtherBCBS FL
FL6699426OtherGHI
FL2027512OtherAETNA
FL2694035OtherCIGNA HEALTHCARE
FL271528OtherAVMED
FLRS6OtherBCBS FL
FL6405620OtherUNITED HEALTHCARE