MEDICARE: EKREN PHYSICAL THERAPY SERVICES INC

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	261QR0400X	Rehabilitation Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6405620	OTHER	FL	UNITED HEALTHCARE
2	Q5U	OTHER	FL	BCBS FL
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	RS5	OTHER	FL	BCBS FL
5	6699426	OTHER	FL	GHI
6	2027512	OTHER	FL	AETNA
7	2694035	OTHER	FL	CIGNA HEALTHCARE
8	271528	OTHER	FL	AVMED
9	RS6	OTHER	FL	BCBS FL

General Provider Information

NPI Number	:	1609880012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EKREN PHYSICAL THERAPY SERVICES INC

Provider Business Mailing Address
First Line	:	2349 SUNSET POINT RD
Second Line	:	SUITE 400
City	:	CLEARWATER
State	:	FL
Zip	:	33765-1456
Country	:	US
Telephone Number	:	727-723-8457
Fax Number	:	727-723-8467

Provider Business Practice Location Address
First Line	:	2349 SUNSET POINT RD
Second Line	:	SUITE 400
City	:	CLEARWATER
State	:	FL
Zip	:	33765-1456
Country	:	US
Telephone Number	:	727-723-8457
Fax Number	:	727-723-8467

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. FILIZ EKREN
Credential	:	P.T.
Telephone Number	:	727-723-8467

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	06/20/2013

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