Provider Demographics
NPI:1720144470
Name:THERAPEUTIC SOLUTIONS INC.
Entity Type:Organization
Organization Name:THERAPEUTIC SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST - ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAMSAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIDI
Authorized Official - Suffix:
Authorized Official - Credentials:PT DPT
Authorized Official - Phone:727-447-8884
Mailing Address - Street 1:PO BOX 1278
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33779-1278
Mailing Address - Country:US
Mailing Address - Phone:727-447-8884
Mailing Address - Fax:727-447-0919
Practice Address - Street 1:611 DRUID RD E
Practice Address - Street 2:SUITE # 301
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3959
Practice Address - Country:US
Practice Address - Phone:727-447-8884
Practice Address - Fax:727-447-0919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10-6986261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL882775300Medicaid
FL882775300Medicaid
FL10-6986Medicare ID - Type UnspecifiedMEDICARE PROVIDER #