PHYSIO MED INC
NPI 1720096720
Clinic/Center - Rehabilitation in Eustis, FL

NPI Status: Active since August 04, 2006

Contact Information

2765 S BAY ST
EUSTIS, FL
ZIP 32726
Phone: (352) 589-5955
Fax: (352) 589-5747

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  • Organization
  • Clinic/Center
  • Rehabilitation
  • Accepts Insurance

About PHYSIO MED INC

This page provides the complete NPI Profile along with additional information for Physio Med Inc, a provider established in Eustis, Florida operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1720096720 assigned on August 2006. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Scottie Bull (President)

NPI
1720096720
Provider Name
PHYSIO MED INC
Entity Type
Organization
Location Address
2765 S BAY ST EUSTIS, FL 32726
Location Phone
(352) 589-5955
Location Fax
(352) 589-5747
Mailing Address
2765 S BAY ST EUSTIS, FL 32726
Mailing Phone
(352) 589-5595
Mailing Fax
(352) 589-5747
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-04-2006
Last Update Date
02-02-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation

Taxonomy Code
261QR0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze 0 Indiv Med Deductible - EPO
  • Connect Bronze 5500 Indiv Med Deductible - EPO
  • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold 2000 Indiv Med Deductible - EPO
  • Connect Gold 800 Indiv Med Deductible - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 3600 Indiv Med Deductible - EPO
  • Connect Silver 4300 Indiv Med Deductible - EPO
  • Connect Silver CMS Standard - EPO
  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
  • BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SCOTTIE BULL

Authorized Official Title
PRESIDENT
Authorized Official Phone
(352) 589-5595

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Q3NOTHER (01)FLBCBS
72890070OTHER (01)AETNA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720096720
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740091274
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 9 + 1 + 2 + 7 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1720096720 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982321691 MOLLY RICHARDSON
Individual
Physical Therapy Assistant2765 S BAY ST
EUSTIS, FL 32726
(352) 589-5595
1275397077 JOSHUA GILMORE
Individual
Physical Therapy Assistant2765 S BAY ST
EUSTIS, FL 32726
(352) 589-5595

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720096720, enumerated in the NPI registry as an "organization" on August 04, 2006

The provider is located at 2765 S Bay St Eustis, Fl 32726 and the phone number is (352) 589-5955

This medical organization specializes in Clinic/Center with taxonomy code 261QR0400X with a focus in Rehabilitation

The provider might be accepting Accepts: Cigna Healthcare, Florida Blue (BlueCross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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