MEDICARE: PT WORKS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1811623952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PT WORKS LLC

Provider Business Mailing Address
First Line	:	82 TURNBULL HILL CT
Second Line	:
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32092-3200
Country	:	US
Telephone Number	:	561-662-4576
Fax Number	:

Provider Business Practice Location Address
First Line	:	5530 FLORIDA MINING BLVD S # 1
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-3647
Country	:	US
Telephone Number	:	561-662-4576
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DOCTOR OF PHYSICAL THERAPY
Name	:	STEPHANIE AUBREY
Credential	:	PT, DPT, OCS, MTC
Telephone Number	:	561-662-4576

Provider Enumeration Date	:	07/30/2022
Last Update Date	:	07/30/2022

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Directions to “PT WORKS LLC ” Practice Location

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