Provider Demographics
NPI:1720155997
Name:ACUPUNCTURE AND PHYSICAL THERAPY SPECIALISTS, INC.
Entity Type:Organization
Organization Name:ACUPUNCTURE AND PHYSICAL THERAPY SPECIALISTS, INC.
Other - Org Name:AMERICAN REHAB CONNECTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MENN-LI
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:386-774-6333
Mailing Address - Street 1:PO BOX 953925
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32795-3925
Mailing Address - Country:US
Mailing Address - Phone:386-774-6333
Mailing Address - Fax:386-410-1603
Practice Address - Street 1:2501 S VOLUSIA AVE STE 200
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-9134
Practice Address - Country:US
Practice Address - Phone:386-774-6333
Practice Address - Fax:386-410-1603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2096171100000X
FLAP544171100000X
FLAP2900171100000X
FLAP2976171100000X
FLAP3608171100000X
FLPT7299225100000X
FLPT22574225100000X
FLPT7339225100000X
FLPT9087225100000X
FLPT29612225100000X
FLPT27376225100000X
FLPT25562225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2381853OtherGROUP
FL1869541OtherGROUP
FLY923LOtherGROUP BCBS PO
FLY926BOtherGROUP BCBS OB
FLY923DOtherGROUP BCBS OC
FLCH2068OtherGROUP
FLK1325OtherPTAN
FL014966000Medicaid
FL2381853OtherGROUP