| Allegiance Home Therapy, Inc | |
|
1880 N Dixie Hwy Boca Raton FL 33432-1845 | |
| (561) 367-0711 | |
| Not Available |
| Full Name | Allegiance Home Therapy, Inc |
|---|---|
| Speciality | Physical Therapist |
| Location | 1880 N Dixie Hwy, Boca Raton, Florida |
| Authorized Official Name and Position | Joseph Martin (PRESIDENT) |
| Authorized Official Contact | 5613670711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allegiance Home Therapy, Inc 1880 N Dixie Hwy Boca Raton FL 33432-1845 Ph: () - | Allegiance Home Therapy, Inc 1880 N Dixie Hwy Boca Raton FL 33432-1845 Ph: (561) 367-0711 |
| NPI Number | 1134438484 |
|---|---|
| Provider Enumeration Date | 10/05/2010 |
| Last Update Date | 04/01/2020 |
| Certification Date | 04/01/2020 |
| Medicare PECOS PAC ID | 2163608738 |
|---|---|
| Medicare Enrollment ID | O20110516000537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134438484 | NPI | - | NPPES |
| Provider Name | Ricci H Fedullo-dodson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164609103 PECOS PAC ID: 2769662543 Enrollment ID: I20110210001023 |
| Provider Name | Melissa Y Jeffreys |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851687156 PECOS PAC ID: 9537337936 Enrollment ID: I20110728000473 |
| Provider Name | Timothy J Marten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346894839 PECOS PAC ID: 8123359072 Enrollment ID: I20191008002468 |
| Provider Name | Christopher Quaas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851934426 PECOS PAC ID: 3173933694 Enrollment ID: I20201111001791 |
| Provider Name | Jennifer C Schlenk |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184015869 PECOS PAC ID: 3476870189 Enrollment ID: I20211011002356 |
| Provider Name | Abraham F Frias |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336604982 PECOS PAC ID: 6901174010 Enrollment ID: I20221209001510 |
| Provider Name | Nicole D Nelson-kretz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609164359 PECOS PAC ID: 9830559988 Enrollment ID: I20230720001863 |
| Provider Name | Jennifer M Hoffman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760150544 PECOS PAC ID: 0345687117 Enrollment ID: I20240328002319 |
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