Clay Physical Therapy PA
NPI 1902075914ActiveOrganization· Physical Therapist· Orange Park, FL
Physical Therapist in Orange Park, Florida, registered in NPPES in February 2008. The authorized official on file is Laurie Vallone Shimko, PHYSICAL THERAPIST, Owner/President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902075914 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 23, 2008 |
| Last updated in NPPES | Oct 5, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT0014414 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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