Provider Demographics
NPI:1760812663
Name:THERAPY PARTNER SOLUTIONS
Entity Type:Organization
Organization Name:THERAPY PARTNER SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CHADWICK
Authorized Official - Last Name:WHITEFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:904-753-1624
Mailing Address - Street 1:PO BOX 1975
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30162-1975
Mailing Address - Country:US
Mailing Address - Phone:706-236-2755
Mailing Address - Fax:866-647-2045
Practice Address - Street 1:941 VILLAGE TRL
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-9353
Practice Address - Country:US
Practice Address - Phone:386-872-7511
Practice Address - Fax:866-647-2045
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PIN HIGH REHABILITATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-11-14
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHS582BMedicare PIN
FLHS582AMedicare PIN