|
| |
|
3334 Capital Medical Blvd Ste 400 Tallahassee FL 32308-4470 | |
| (850) 877-8174 | |
| (844) 261-6839 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 3334 Capital Medical Blvd Ste 400, Tallahassee, Florida |
| Authorized Official Name and Position | Allison Powell (MANAGED CARE COORDINATOR) |
| Authorized Official Contact | 8508778174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
3334 Capital Medical Blvd Ste 400 Tallahassee FL 32308-4470 Ph: (850) 877-8174 | 3334 Capital Medical Blvd Ste 400 Tallahassee FL 32308-4470 Ph: (850) 877-8174 |
| NPI Number | 1194778050 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Medicare PECOS PAC ID | 4284532755 |
|---|---|
| Medicare Enrollment ID | O20031222000343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194778050 | NPI | - | NPPES |
| 251006501 | Medicaid | FL | |
| 251006502 | Medicaid | FL | |
| 251006503 | Medicaid | FL | |
| CG1216 | Other | GA | RAILROAD MEDICARE # |
| 251006500 | Medicaid | FL | |
| CG3489 | Other | GA | RAILROAD MEDICARE |
| 251006512 | Medicaid | FL | |
| 251006509 | Medicaid | FL |
| Provider Name | Stephen C Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871547737 PECOS PAC ID: 6406757574 Enrollment ID: I20040120000934 |
| Provider Name | William C Cottrell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306893151 PECOS PAC ID: 3779479068 Enrollment ID: I20040224000845 |
| Provider Name | Craig A Schwartz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447229828 PECOS PAC ID: 5597651703 Enrollment ID: I20040225000246 |
| Provider Name | Eddy Echols |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366417644 PECOS PAC ID: 5496748576 Enrollment ID: I20040405001574 |
| Provider Name | Gavin Leath Hawken |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720078363 PECOS PAC ID: 8224013693 Enrollment ID: I20040621000694 |
| Provider Name | Paul Jorge Lopes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104815711 PECOS PAC ID: 3375528433 Enrollment ID: I20040622001272 |
| Provider Name | Steven Mirabello |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487646097 PECOS PAC ID: 4981506144 Enrollment ID: I20040624001653 |
| Provider Name | Sang H Choi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760474373 PECOS PAC ID: 7517869779 Enrollment ID: I20040624001685 |
| Provider Name | Mark Torke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033102223 PECOS PAC ID: 9830173913 Enrollment ID: I20040625000021 |
| Provider Name | Lisa R Choe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235128539 PECOS PAC ID: 5294711131 Enrollment ID: I20040629001401 |
| Provider Name | Lori J Amaden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740279090 PECOS PAC ID: 9830176635 Enrollment ID: I20040630000456 |
| Provider Name | Lori Friedgen Cook |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417946765 PECOS PAC ID: 1850371873 Enrollment ID: I20040721000930 |
| Provider Name | Aaron J Shores |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1982702643 PECOS PAC ID: 7416922554 Enrollment ID: I20040831001550 |
| Provider Name | Kris D Stowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043213879 PECOS PAC ID: 4981670122 Enrollment ID: I20040908001622 |
| Provider Name | William Thompson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1396748125 PECOS PAC ID: 0648247635 Enrollment ID: I20040910000165 |
| Provider Name | Michael W Moser |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1831114586 PECOS PAC ID: 7911974712 Enrollment ID: I20040913000108 |
| Provider Name | Donna L Wheeler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164469326 PECOS PAC ID: 8921067547 Enrollment ID: I20041008000366 |
| Provider Name | Karen A Derr |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1073536769 PECOS PAC ID: 3971416884 Enrollment ID: I20041015000133 |
| Provider Name | Stephen Darcy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114909975 PECOS PAC ID: 6204874464 Enrollment ID: I20050420000273 |
| Provider Name | Michael S Werner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962494021 PECOS PAC ID: 3577504737 Enrollment ID: I20050518000270 |
| Provider Name | Timothy P Gill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093704090 PECOS PAC ID: 6507851771 Enrollment ID: I20050627000152 |
| Provider Name | Craig Radnay |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417920364 PECOS PAC ID: 3072542075 Enrollment ID: I20050810000582 |
| Provider Name | Arthi Sainath |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609866375 PECOS PAC ID: 8426087123 Enrollment ID: I20050811000780 |
| Provider Name | David T Watson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992779474 PECOS PAC ID: 3870516958 Enrollment ID: I20060104000866 |
| Provider Name | Cristina Pando |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467427187 PECOS PAC ID: 5991729832 Enrollment ID: I20060119000070 |
| Provider Name | James Byron Davidson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770543704 PECOS PAC ID: 8729093190 Enrollment ID: I20060208000081 |
| Provider Name | Tara L Casal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689630980 PECOS PAC ID: 9335151588 Enrollment ID: I20060707000101 |
| Provider Name | Richard G Pigeon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548212582 PECOS PAC ID: 2163425364 Enrollment ID: I20060808000347 |
| Provider Name | Frances B Kahn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902844087 PECOS PAC ID: 0648250563 Enrollment ID: I20060913000085 |
| Provider Name | David Cheong |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457307183 PECOS PAC ID: 9638176290 Enrollment ID: I20061025000239 |
| Provider Name | Grant Garlick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316993223 PECOS PAC ID: 7517965932 Enrollment ID: I20061120000306 |
| Provider Name | Jared J Patterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508897018 PECOS PAC ID: 2466451174 Enrollment ID: I20061206000524 |
| Provider Name | Alysha N Monduori |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043272461 PECOS PAC ID: 3072514900 Enrollment ID: I20070120000004 |
| Provider Name | Scott M Wisotsky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316961451 PECOS PAC ID: 3476554718 Enrollment ID: I20070129000656 |
| Provider Name | Kimberly R Hagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528145356 PECOS PAC ID: 3476554601 Enrollment ID: I20070130000590 |
| Provider Name | Jill David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336142918 PECOS PAC ID: 5991808834 Enrollment ID: I20070313000454 |
| Provider Name | Mark Edward Fahey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194728956 PECOS PAC ID: 1456327691 Enrollment ID: I20070317000007 |
| Provider Name | Thomas M Park |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952304792 PECOS PAC ID: 7012939895 Enrollment ID: I20070317000023 |
| Provider Name | Andrew M Wong |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1407859226 PECOS PAC ID: 4789659301 Enrollment ID: I20070317000031 |
| Provider Name | Garrison Anthony Rolle |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1700889540 PECOS PAC ID: 1355317595 Enrollment ID: I20070317000041 |
| Provider Name | David Bellamy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023011905 PECOS PAC ID: 5799743274 Enrollment ID: I20070317000049 |
| Provider Name | Andrew Hicks Borom |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831164904 PECOS PAC ID: 2365545027 Enrollment ID: I20070317000057 |
| Provider Name | David Berg |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1619970589 PECOS PAC ID: 6507848850 Enrollment ID: I20070317000061 |
| Provider Name | Hank Lawrence Hutchinson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518934694 PECOS PAC ID: 7911004486 Enrollment ID: I20070517000245 |
| Provider Name | Nishin S Tambay |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1417096165 PECOS PAC ID: 6103846019 Enrollment ID: I20070615000030 |
| Provider Name | Michael J Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750366076 PECOS PAC ID: 8729069372 Enrollment ID: I20070716000302 |
| Provider Name | Aaron J Guyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780630558 PECOS PAC ID: 6608970884 Enrollment ID: I20071002000178 |
| Provider Name | Hari Parvataneni |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952356941 PECOS PAC ID: 7911900931 Enrollment ID: I20071003000702 |
| Provider Name | Bryan R Prine |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1447330535 PECOS PAC ID: 9739275165 Enrollment ID: I20071017000462 |
| Provider Name | Mark H Routman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588694202 PECOS PAC ID: 1153418074 Enrollment ID: I20071204000541 |
| Provider Name | Michael A Miranda |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1225202575 PECOS PAC ID: 3779657291 Enrollment ID: I20080801000091 |
| Provider Name | Anjan R Shah |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104091933 PECOS PAC ID: 7416022330 Enrollment ID: I20080812000482 |
| Provider Name | Hassan R Mir |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467675710 PECOS PAC ID: 8123193786 Enrollment ID: I20080815000277 |
| Provider Name | Stephanie J Epting |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1740453349 PECOS PAC ID: 0042370140 Enrollment ID: I20081119000556 |
| Provider Name | Matthew David Blevins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134119076 PECOS PAC ID: 3678477759 Enrollment ID: I20090123000425 |
| Provider Name | Matthew Jay Swick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982806121 PECOS PAC ID: 8224120217 Enrollment ID: I20090313000136 |
| Provider Name | Winston Biltz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235365107 PECOS PAC ID: 5890848998 Enrollment ID: I20090807000203 |
| Provider Name | Andrew Jeremy Cooper |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710188479 PECOS PAC ID: 3779650700 Enrollment ID: I20090826000639 |
| Provider Name | John Bertozzi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326230095 PECOS PAC ID: 4789736471 Enrollment ID: I20090831000057 |
| Provider Name | Marissa F Janeway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467684308 PECOS PAC ID: 1658426085 Enrollment ID: I20090908000424 |
| Provider Name | Michael J Garcia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710163886 PECOS PAC ID: 9537234414 Enrollment ID: I20090930000552 |
| Provider Name | Anthony L Marcotte |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1144278300 PECOS PAC ID: 4486651544 Enrollment ID: I20091010000008 |
| Provider Name | Mark Allen Mighell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528065323 PECOS PAC ID: 5496893422 Enrollment ID: I20091112000319 |
| Provider Name | Thomas Lane Bernasek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881699726 PECOS PAC ID: 8022921097 Enrollment ID: I20091112000365 |
| Provider Name | Seth I Gasser |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1164427878 PECOS PAC ID: 8729991799 Enrollment ID: I20091112000384 |
| Provider Name | Anthony Frank Infante |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720083454 PECOS PAC ID: 0648318576 Enrollment ID: I20091112000442 |
| Provider Name | Ann Gowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295730091 PECOS PAC ID: 2466590310 Enrollment ID: I20091112000569 |
| Provider Name | Steven T Lyons |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275530479 PECOS PAC ID: 9830151752 Enrollment ID: I20091112000585 |
| Provider Name | Howard Jackson |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1255338042 PECOS PAC ID: 6002954914 Enrollment ID: I20091113000432 |
| Provider Name | Jeffrey D Stone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417954215 PECOS PAC ID: 0648318469 Enrollment ID: I20091114000053 |
| Provider Name | Mark Frankle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780680074 PECOS PAC ID: 0143368928 Enrollment ID: I20091116000535 |
| Provider Name | John Small |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144227364 PECOS PAC ID: 7012055809 Enrollment ID: I20091116000571 |
| Provider Name | Alfred Vincent Hess |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578568291 PECOS PAC ID: 3779496773 Enrollment ID: I20091117000086 |
| Provider Name | Kenneth Alan Gustke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144225855 PECOS PAC ID: 2769395714 Enrollment ID: I20091117000145 |
| Provider Name | Roy Sanders |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881691681 PECOS PAC ID: 1557274529 Enrollment ID: I20091222000361 |
| Provider Name | Adam C Morse |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1255338059 PECOS PAC ID: 8628118544 Enrollment ID: I20091226000010 |
| Provider Name | Shelley B Juern Mckaughan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467780023 PECOS PAC ID: 7911040977 Enrollment ID: I20100130000158 |
| Provider Name | Irma Witbreuk |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992834303 PECOS PAC ID: 1557403144 Enrollment ID: I20100209000383 |
| Provider Name | Marc Weinstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679570469 PECOS PAC ID: 5597800367 Enrollment ID: I20100304000202 |
| Provider Name | Michael Fittin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811094063 PECOS PAC ID: 5395870166 Enrollment ID: I20100318000325 |
| Provider Name | Jorge A Rodriguez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922072461 PECOS PAC ID: 1850427071 Enrollment ID: I20100326000815 |
| Provider Name | Michelle Greer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265420285 PECOS PAC ID: 3678604451 Enrollment ID: I20100622000732 |
| Provider Name | Thomas O Schwab |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306886379 PECOS PAC ID: 5597898221 Enrollment ID: I20100802000952 |
| Provider Name | John E Kilgore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770526410 PECOS PAC ID: 8628101359 Enrollment ID: I20100802001001 |
| Provider Name | George H Canizares |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942274485 PECOS PAC ID: 7810020294 Enrollment ID: I20100805000568 |
| Provider Name | Jason A Nydick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417108374 PECOS PAC ID: 5991850869 Enrollment ID: I20100819001217 |
| Provider Name | Michael L Rothberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831138338 PECOS PAC ID: 9638065279 Enrollment ID: I20100913000265 |
| Provider Name | Hector A Mejia |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1417094798 PECOS PAC ID: 8628193216 Enrollment ID: I20100920000968 |
| Provider Name | David Jason Oberste |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1609860451 PECOS PAC ID: 5799977427 Enrollment ID: I20101013000084 |
| Provider Name | Steven Jeffrey Tresser |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457309056 PECOS PAC ID: 1254525652 Enrollment ID: I20101029000847 |
| Provider Name | Glenn S Fuoco |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912989625 PECOS PAC ID: 8921293010 Enrollment ID: I20101115001070 |
| Provider Name | Brett R Bolhofner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134193667 PECOS PAC ID: 0345354049 Enrollment ID: I20110113000356 |
| Provider Name | Robert Matthias |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1770512949 PECOS PAC ID: 4284639808 Enrollment ID: I20110302000269 |
| Provider Name | Timothy C Epting |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275796765 PECOS PAC ID: 4183808751 Enrollment ID: I20110405001015 |
| Provider Name | Christopher E Baker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679775167 PECOS PAC ID: 7012185762 Enrollment ID: I20110722000645 |
| Provider Name | Kurt C Hirshorn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114199718 PECOS PAC ID: 8224225354 Enrollment ID: I20110801000901 |
| Provider Name | Michael Seth Smith |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1134377385 PECOS PAC ID: 3577732536 Enrollment ID: I20110808000652 |
| Provider Name | William Bradford Stephens |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1366527897 PECOS PAC ID: 1456522341 Enrollment ID: I20110926000818 |
| Provider Name | David Thompson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033159009 PECOS PAC ID: 0446468045 Enrollment ID: I20111207000783 |
| Provider Name | Peter V Lopez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366404550 PECOS PAC ID: 1951475359 Enrollment ID: I20120106000030 |
| Provider Name | Floyd W Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801816087 PECOS PAC ID: 9032160908 Enrollment ID: I20120120000843 |
| Provider Name | Deborah Ann Sauls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740555374 PECOS PAC ID: 5294997912 Enrollment ID: I20120425000566 |
| Provider Name | Ioannis Panagiotis Pappou |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225292360 PECOS PAC ID: 4082870209 Enrollment ID: I20120716000385 |
| Provider Name | Matthew Christopher Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386705283 PECOS PAC ID: 0345419131 Enrollment ID: I20120828000271 |
| Provider Name | Dzi-viet P Nguyen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265698294 PECOS PAC ID: 3577703107 Enrollment ID: I20130702000731 |
| Provider Name | Marc Droste |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821062795 PECOS PAC ID: 2466693791 Enrollment ID: I20130729000494 |
| Provider Name | Paul J Pagano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215930912 PECOS PAC ID: 2769384478 Enrollment ID: I20130802000287 |
| Provider Name | Jason P Schoonover |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770824609 PECOS PAC ID: 1658513213 Enrollment ID: I20130809000600 |
| Provider Name | Gilbert S Chandler |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1003807272 PECOS PAC ID: 6103878202 Enrollment ID: I20130820000007 |
| Provider Name | Brian Thomas Palumbo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770784324 PECOS PAC ID: 3274784459 Enrollment ID: I20130820000077 |
| Provider Name | Jeff Eugene Sellman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902035652 PECOS PAC ID: 4183866213 Enrollment ID: I20130820000178 |
| Provider Name | Elio M Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245663384 PECOS PAC ID: 4284877218 Enrollment ID: I20130823000534 |
| Provider Name | Kathleen A Pirri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700218344 PECOS PAC ID: 7719111541 Enrollment ID: I20131010001700 |
| Provider Name | Tracey A Krinn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700229085 PECOS PAC ID: 8820223951 Enrollment ID: I20131028000546 |
| Provider Name | Tim Alan Long |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003902875 PECOS PAC ID: 0840422119 Enrollment ID: I20140421001024 |
| Provider Name | John Dewey Ramirez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891125795 PECOS PAC ID: 4385867274 Enrollment ID: I20140521002474 |
| Provider Name | Mitchell R Herrema |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811126048 PECOS PAC ID: 4688830201 Enrollment ID: I20140609000912 |
| Provider Name | Anne Gamache |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801116108 PECOS PAC ID: 0345465597 Enrollment ID: I20140702001772 |
| Provider Name | Makiko Torikai |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770917874 PECOS PAC ID: 3476778069 Enrollment ID: I20140716001052 |
| Provider Name | Benjamin James Maxson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124353677 PECOS PAC ID: 4880811603 Enrollment ID: I20140818002515 |
| Provider Name | David Richmond Whiddon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598726564 PECOS PAC ID: 6901800317 Enrollment ID: I20140819002302 |
| Provider Name | Delbert Paul Remaley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396900148 PECOS PAC ID: 8729265913 Enrollment ID: I20140829000318 |
| Provider Name | Richard D John |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235561697 PECOS PAC ID: 1052634599 Enrollment ID: I20150108000869 |
| Provider Name | Sharon Rosenberg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962783043 PECOS PAC ID: 0749500049 Enrollment ID: I20150528001645 |
| Provider Name | Tiffany Cramer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578772448 PECOS PAC ID: 7810217114 Enrollment ID: I20150528001716 |
| Provider Name | Elizabeth Stafford Elchenko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548577323 PECOS PAC ID: 2062732266 Enrollment ID: I20150528001880 |
| Provider Name | Syed Mannan Zaffer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255323606 PECOS PAC ID: 5395636757 Enrollment ID: I20150623001655 |
| Provider Name | Jason Degroff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790079515 PECOS PAC ID: 9234441270 Enrollment ID: I20150706001963 |
| Provider Name | Stephanie I Labutis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598980054 PECOS PAC ID: 1052626561 Enrollment ID: I20150812008951 |
| Provider Name | Christopher W Grayson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528294618 PECOS PAC ID: 6608019211 Enrollment ID: I20150819008337 |
| Provider Name | Gabriel Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336113497 PECOS PAC ID: 7719970755 Enrollment ID: I20150828001933 |
| Provider Name | Ian David Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780063982 PECOS PAC ID: 3971819186 Enrollment ID: I20150902003101 |
| Provider Name | Seung Yi |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1235367483 PECOS PAC ID: 3274849237 Enrollment ID: I20150904002243 |
| Provider Name | Chancellor Folsom Gray |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013179548 PECOS PAC ID: 1254653447 Enrollment ID: I20150916002212 |
| Provider Name | Christian Miciano Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942685557 PECOS PAC ID: 7113235052 Enrollment ID: I20150926000170 |
| Provider Name | Ruth A Coopee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427123827 PECOS PAC ID: 9234138546 Enrollment ID: I20151019000913 |
| Provider Name | Drew Bowman Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407280522 PECOS PAC ID: 5799095527 Enrollment ID: I20151106002264 |
| Provider Name | Eric J Wilkinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205153467 PECOS PAC ID: 2860795937 Enrollment ID: I20160122001953 |
| Provider Name | Meredith Lapierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962785956 PECOS PAC ID: 2163678145 Enrollment ID: I20160225002705 |
| Provider Name | Ashley M.c. Deco |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114380144 PECOS PAC ID: 7012206022 Enrollment ID: I20160516000002 |
| Provider Name | Eric Chua Lim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902286156 PECOS PAC ID: 8426349093 Enrollment ID: I20160629001393 |
| Provider Name | Monica Davila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336599356 PECOS PAC ID: 7315232857 Enrollment ID: I20160823003101 |
| Provider Name | Todd P Beery |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427283613 PECOS PAC ID: 0345468930 Enrollment ID: I20161017001580 |
| Provider Name | Mohsin Ansari |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538516398 PECOS PAC ID: 0547548760 Enrollment ID: I20161024000097 |
| Provider Name | Tony Labree Bryant |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548588072 PECOS PAC ID: 2567603749 Enrollment ID: I20161205001281 |
| Provider Name | Shonda Lynn Wilber |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629526579 PECOS PAC ID: 9739460957 Enrollment ID: I20161230001571 |
| Provider Name | Tyler Brooks Vealey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588046940 PECOS PAC ID: 4880976299 Enrollment ID: I20170119002365 |
| Provider Name | Jeffrey Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174065296 PECOS PAC ID: 3476835539 Enrollment ID: I20170125000538 |
| Provider Name | Aaron Koslin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790090801 PECOS PAC ID: 6901119056 Enrollment ID: I20170224000830 |
| Provider Name | Justin Deen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295027050 PECOS PAC ID: 7416176466 Enrollment ID: I20170404002330 |
| Provider Name | Gina Cespedes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669873592 PECOS PAC ID: 5092023879 Enrollment ID: I20170405000441 |
| Provider Name | Jessica Ferguson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356889604 PECOS PAC ID: 8123304920 Enrollment ID: I20170410002381 |
| Provider Name | Todd Daniel Hewitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962463042 PECOS PAC ID: 3779582127 Enrollment ID: I20170522001572 |
| Provider Name | Raymon Hanna |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518371616 PECOS PAC ID: 8224305628 Enrollment ID: I20170606000277 |
| Provider Name | Chesley Folsom Durgin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962763565 PECOS PAC ID: 6305084252 Enrollment ID: I20170804000648 |
| Provider Name | Adil A Samad |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538468160 PECOS PAC ID: 3072800127 Enrollment ID: I20170830002176 |
| Provider Name | Neil Sudhir Kumar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285920454 PECOS PAC ID: 1153626858 Enrollment ID: I20170925001842 |
| Provider Name | Brian James Zirgibel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780815696 PECOS PAC ID: 8224273248 Enrollment ID: I20171214002098 |
| Provider Name | Olivia T Ehrlich |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881110393 PECOS PAC ID: 8527326313 Enrollment ID: I20171228000964 |
| Provider Name | Angela L Brannon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841374725 PECOS PAC ID: 8224397237 Enrollment ID: I20180122000328 |
| Provider Name | Elizabeth Stroh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124391230 PECOS PAC ID: 8527221613 Enrollment ID: I20180307002694 |
| Provider Name | Luis Felipe Pulido Sierra |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639325855 PECOS PAC ID: 9436283512 Enrollment ID: I20180308000552 |
| Provider Name | Monica Henry Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497208557 PECOS PAC ID: 6406110998 Enrollment ID: I20180509001630 |
| Provider Name | Edward Charles Betzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891293114 PECOS PAC ID: 9638433022 Enrollment ID: I20180511001070 |
| Provider Name | Faisal Aziz Chaudhry |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1114189792 PECOS PAC ID: 6709016066 Enrollment ID: I20180726002152 |
| Provider Name | David Antonio Alvarez |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1104182708 PECOS PAC ID: 8426353434 Enrollment ID: I20180809004920 |
| Provider Name | Jessica Ariel Rosengold |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346746492 PECOS PAC ID: 5597014969 Enrollment ID: I20180817000911 |
| Provider Name | Arjuena Dinglasan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508353012 PECOS PAC ID: 2062761448 Enrollment ID: I20180817001360 |
| Provider Name | Christopher Wade Babl |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1073660841 PECOS PAC ID: 3375778822 Enrollment ID: I20180821002512 |
| Provider Name | Peter J Howard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992065312 PECOS PAC ID: 0244460749 Enrollment ID: I20180829001415 |
| Provider Name | Magdalena W Bachan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043705783 PECOS PAC ID: 9133479561 Enrollment ID: I20180906000731 |
| Provider Name | George Capote |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457831927 PECOS PAC ID: 3072864958 Enrollment ID: I20180918000247 |
| Provider Name | David Michael Donohue |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639436363 PECOS PAC ID: 7517235054 Enrollment ID: I20180920002916 |
| Provider Name | Richard Howell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609139336 PECOS PAC ID: 2163792367 Enrollment ID: I20181002002712 |
| Provider Name | Ryan Christopher Price |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255685046 PECOS PAC ID: 4284873373 Enrollment ID: I20181023002991 |
| Provider Name | Mitchell Campbell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770066094 PECOS PAC ID: 1052665106 Enrollment ID: I20181108001992 |
| Provider Name | Cathryn Ungermann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063992303 PECOS PAC ID: 5193079903 Enrollment ID: I20181114002096 |
| Provider Name | Reza Alavi |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1730575044 PECOS PAC ID: 2860736741 Enrollment ID: I20181204000810 |
| Provider Name | Kaley Mcnabb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518453331 PECOS PAC ID: 2860736675 Enrollment ID: I20181205002302 |
| Provider Name | Tara Bagen Sonnanstine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316380439 PECOS PAC ID: 9436438272 Enrollment ID: I20190305000030 |
| Provider Name | Michael A Venezia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356757512 PECOS PAC ID: 1456690619 Enrollment ID: I20190305002891 |
| Provider Name | Jessica Rachelle Hamel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811469729 PECOS PAC ID: 2062753312 Enrollment ID: I20190415000637 |
| Provider Name | Anthony Fittipaldi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275056244 PECOS PAC ID: 8426382698 Enrollment ID: I20190620003253 |
| Provider Name | James Joseph Creighton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073950788 PECOS PAC ID: 9739321043 Enrollment ID: I20190718002617 |
| Provider Name | Patrick Judson Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558708370 PECOS PAC ID: 5890919351 Enrollment ID: I20190802000727 |
| Provider Name | Evan Michael Loewy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144562448 PECOS PAC ID: 4082977723 Enrollment ID: I20190815002078 |
| Provider Name | Bridgett Powe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669013488 PECOS PAC ID: 1759613227 Enrollment ID: I20191101002053 |
| Provider Name | Garrett Craige Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285275677 PECOS PAC ID: 8224462742 Enrollment ID: I20191216002481 |
| Provider Name | Erica Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194386938 PECOS PAC ID: 2769816099 Enrollment ID: I20191219001928 |
| Provider Name | Adrienne Forkois |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386618346 PECOS PAC ID: 2062785637 Enrollment ID: I20200211002652 |
| Provider Name | Gina M Komar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790798122 PECOS PAC ID: 3072792654 Enrollment ID: I20200408002855 |
| Provider Name | Gregory I Mines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326545682 PECOS PAC ID: 8325398738 Enrollment ID: I20200511001182 |
| Provider Name | Kyle Summeral Mobley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952713646 PECOS PAC ID: 6002105988 Enrollment ID: I20200626000067 |
| Provider Name | Heather Michelle Whitmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740806173 PECOS PAC ID: 3476976838 Enrollment ID: I20200702001034 |
| Provider Name | Spencer Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114319597 PECOS PAC ID: 3870870546 Enrollment ID: I20200702001566 |
| Provider Name | Holden D Heitner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407276504 PECOS PAC ID: 4688910227 Enrollment ID: I20200709000625 |
| Provider Name | Mary Kathryn Fischer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134523392 PECOS PAC ID: 0042633976 Enrollment ID: I20200709003181 |
| Provider Name | Traci Lynn Mcguire |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396939377 PECOS PAC ID: 9436239555 Enrollment ID: I20200722001367 |
| Provider Name | Jessica Henry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952937492 PECOS PAC ID: 0244654275 Enrollment ID: I20200722003366 |
| Provider Name | Jordan Daniel Walters |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1720406945 PECOS PAC ID: 5890026702 Enrollment ID: I20200730001233 |
| Provider Name | Andrew Boltuch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265815450 PECOS PAC ID: 3375969801 Enrollment ID: I20200814001192 |
| Provider Name | Michael C Doarn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104053966 PECOS PAC ID: 5890912331 Enrollment ID: I20200903001796 |
| Provider Name | Samantha Pabalan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023636008 PECOS PAC ID: 1052730645 Enrollment ID: I20201001000304 |
| Provider Name | Ruth E. Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962642207 PECOS PAC ID: 0345669875 Enrollment ID: I20201001001649 |
| Provider Name | Brett Woyshner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982206736 PECOS PAC ID: 5092126201 Enrollment ID: I20201119000707 |
| Provider Name | Sarah Epley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629567813 PECOS PAC ID: 8628333481 Enrollment ID: I20201210002284 |
| Provider Name | Krystal A. Noriega |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063015725 PECOS PAC ID: 3274945357 Enrollment ID: I20201214002498 |
| Provider Name | Vanessa Josephine Faulkner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275138646 PECOS PAC ID: 3072925114 Enrollment ID: I20201215001702 |
| Provider Name | Curtis Duggar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659961555 PECOS PAC ID: 1557775327 Enrollment ID: I20210208000700 |
| Provider Name | Brian Christopher Vogt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639407943 PECOS PAC ID: 3072920974 Enrollment ID: I20210319001577 |
| Provider Name | Youstina Ibrahim Bolos |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073976429 PECOS PAC ID: 5890102909 Enrollment ID: I20210407000917 |
| Provider Name | Selah Cheyanne Barfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699354043 PECOS PAC ID: 3274932199 Enrollment ID: I20210526001974 |
| Provider Name | Jessica Vargas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790108918 PECOS PAC ID: 3173922861 Enrollment ID: I20210601000189 |
| Provider Name | Shaan Mehta |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1801320148 PECOS PAC ID: 0941571723 Enrollment ID: I20210628003311 |
| Provider Name | Thomas Scott Stang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891185963 PECOS PAC ID: 5496027179 Enrollment ID: I20210630000455 |
| Provider Name | Susanna Zorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487185351 PECOS PAC ID: 0345518908 Enrollment ID: I20210709000629 |
| Provider Name | Christopher David Flanagan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841686771 PECOS PAC ID: 8123322252 Enrollment ID: I20210715001946 |
| Provider Name | David Bird Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841651031 PECOS PAC ID: 9335405448 Enrollment ID: I20210723001358 |
| Provider Name | Jeffrey Thomas Kannen |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1447783642 PECOS PAC ID: 0244599520 Enrollment ID: I20210728001726 |
| Provider Name | Eric Alan Branch |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1982067344 PECOS PAC ID: 1557765682 Enrollment ID: I20210811001243 |
| Provider Name | Kevin Jeremiah Cronin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821479759 PECOS PAC ID: 0648565077 Enrollment ID: I20210811003358 |
| Provider Name | Benjamin Streufert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770979247 PECOS PAC ID: 4880019926 Enrollment ID: I20210825000612 |
| Provider Name | Brian Richard Laskowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033885918 PECOS PAC ID: 7315343381 Enrollment ID: I20210831002340 |
| Provider Name | Brooks Robert Osburn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932527298 PECOS PAC ID: 8022414648 Enrollment ID: I20210908000522 |
| Provider Name | Danielle Pisano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639848443 PECOS PAC ID: 6901203918 Enrollment ID: I20210917001153 |
| Provider Name | Cory A Messerschmidt |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1609161728 PECOS PAC ID: 3173812005 Enrollment ID: I20210922002953 |
| Provider Name | Bradley Walter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538131107 PECOS PAC ID: 5991919094 Enrollment ID: I20210928000345 |
| Provider Name | Jacob Alan Alexsuk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366118531 PECOS PAC ID: 3072910306 Enrollment ID: I20210929000232 |
| Provider Name | Justin D Shuman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710294269 PECOS PAC ID: 7315129681 Enrollment ID: I20211025002729 |
| Provider Name | Tonya M Strong |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831310192 PECOS PAC ID: 4385034206 Enrollment ID: I20211208003703 |
| Provider Name | Tara Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467118836 PECOS PAC ID: 8022409044 Enrollment ID: I20211230002056 |
| Provider Name | Ameer Ghaisarnia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205212982 PECOS PAC ID: 7517262983 Enrollment ID: I20220105000463 |
| Provider Name | Elie Hanna Boutros |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801408943 PECOS PAC ID: 5890187363 Enrollment ID: I20220112001527 |
| Provider Name | Jacqueline R Dove |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952371544 PECOS PAC ID: 3577591569 Enrollment ID: I20220113000470 |
| Provider Name | Jennifer R Kearns |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730704677 PECOS PAC ID: 3678999265 Enrollment ID: I20220118001657 |
| Provider Name | Nicole Margaret Laderer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790437523 PECOS PAC ID: 9133512114 Enrollment ID: I20220216000169 |
| Provider Name | Kourtney Gabrielle Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174113237 PECOS PAC ID: 5496141996 Enrollment ID: I20220411000380 |
| Provider Name | Adam Michael Almaguer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265895676 PECOS PAC ID: 8729374715 Enrollment ID: I20220602001186 |
| Provider Name | Madison E Scanlan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336805506 PECOS PAC ID: 9032597554 Enrollment ID: I20220610002562 |
| Provider Name | Alex Elliott Mierke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902339344 PECOS PAC ID: 1052791522 Enrollment ID: I20220630002392 |
| Provider Name | Jonathan C Liu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679136618 PECOS PAC ID: 5991033912 Enrollment ID: I20220707001124 |
| Provider Name | Devin William Collins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417477852 PECOS PAC ID: 1658752316 Enrollment ID: I20220713001477 |
| Provider Name | Cassandra Ricketts |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508392093 PECOS PAC ID: 1557630852 Enrollment ID: I20220713002525 |
| Provider Name | Cristina Maria Franceschini Sanchez |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1528554706 PECOS PAC ID: 3678954559 Enrollment ID: I20220725000156 |
| Provider Name | Kathryn Shust |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962614354 PECOS PAC ID: 5799053856 Enrollment ID: I20220814000081 |
| Provider Name | Sarah Figueroa Bowers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770143174 PECOS PAC ID: 0749517308 Enrollment ID: I20220816003591 |
| Provider Name | Thomas Auld |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447614227 PECOS PAC ID: 6002219052 Enrollment ID: I20220816003885 |
| Provider Name | Chelsa Regail Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346977303 PECOS PAC ID: 9931585536 Enrollment ID: I20221005002340 |
| Provider Name | David Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407190648 PECOS PAC ID: 1951651462 Enrollment ID: I20221011002926 |
| Provider Name | Andrea Wojcichowsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093430878 PECOS PAC ID: 7911373584 Enrollment ID: I20221023000038 |
| Provider Name | Conner Applewhite Hansen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649763459 PECOS PAC ID: 5193191559 Enrollment ID: I20221026002358 |
| Provider Name | Kate Elizabeth Turchin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457078545 PECOS PAC ID: 9032586326 Enrollment ID: I20221028001829 |
| Provider Name | Michael Fernando Monzon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184331589 PECOS PAC ID: 5496122087 Enrollment ID: I20221111000264 |
| Provider Name | Victoria Tavenner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679281968 PECOS PAC ID: 0042688566 Enrollment ID: I20221115000369 |
| Provider Name | Christian R Wilhelm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932798584 PECOS PAC ID: 5698181386 Enrollment ID: I20221115002309 |
| Provider Name | Caitlin Savannah Dobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912614827 PECOS PAC ID: 2769851286 Enrollment ID: I20221206000335 |
| Provider Name | Melissa Guigliano |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003427584 PECOS PAC ID: 7214306422 Enrollment ID: I20221210000021 |
| Provider Name | Adriel Alexander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952040156 PECOS PAC ID: 6406234004 Enrollment ID: I20230120000587 |
| Provider Name | Andrew Michael Dec |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1871851824 PECOS PAC ID: 2961720784 Enrollment ID: I20230126000082 |
| Provider Name | Anne- Marie Belott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295052439 PECOS PAC ID: 7214111681 Enrollment ID: I20230307002248 |
| Provider Name | Currie Michelle Powers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831631027 PECOS PAC ID: 1658655253 Enrollment ID: I20230315001257 |
| Provider Name | Dylan Shaw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457057382 PECOS PAC ID: 5799159075 Enrollment ID: I20230328003055 |
| Provider Name | Caroline Evers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720633993 PECOS PAC ID: 9436524519 Enrollment ID: I20230403000486 |
| Provider Name | Natasa Delic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558607945 PECOS PAC ID: 6608232913 Enrollment ID: I20230511001467 |
| Provider Name | Leia M Carothers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871643940 PECOS PAC ID: 3577929470 Enrollment ID: I20230518003481 |
| Provider Name | Zachary S Wells |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558866657 PECOS PAC ID: 4789042185 Enrollment ID: I20230616000686 |
| Provider Name | Shada N Salvas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083325815 PECOS PAC ID: 6507224771 Enrollment ID: I20230620002576 |
| Provider Name | Toby Hartog |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992342026 PECOS PAC ID: 6608200449 Enrollment ID: I20230627002938 |
| Provider Name | Mark Spencer Woernle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902395023 PECOS PAC ID: 3577922160 Enrollment ID: I20230629001810 |
| Provider Name | George Wendell Feliciano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013995711 PECOS PAC ID: 9032146717 Enrollment ID: I20230630001142 |
| Provider Name | Cameron D Straughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487033197 PECOS PAC ID: 8921374000 Enrollment ID: I20230717000248 |
| Provider Name | Joseph A Dalonzo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942706973 PECOS PAC ID: 2062758121 Enrollment ID: I20230718001225 |
| Provider Name | Mandy A Gibbs |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114261237 PECOS PAC ID: 5294196499 Enrollment ID: I20230804000024 |
| Provider Name | Lauren Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619657244 PECOS PAC ID: 4981066339 Enrollment ID: I20230816002766 |
| Provider Name | Amy P Snead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336922657 PECOS PAC ID: 9133582356 Enrollment ID: I20230905003443 |
| Provider Name | Bennett Nathaniel Osburn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215626775 PECOS PAC ID: 4183088214 Enrollment ID: I20230907004207 |
| Provider Name | Joumana Mehrab |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962152132 PECOS PAC ID: 4082078969 Enrollment ID: I20230911002791 |
| Provider Name | Christian Douglas Reintgen |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1760914758 PECOS PAC ID: 3870868235 Enrollment ID: I20230922003764 |
| Provider Name | Maria Dort |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174206692 PECOS PAC ID: 5799139606 Enrollment ID: I20230927000117 |
| Provider Name | Adam Regalado |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831973262 PECOS PAC ID: 6507211778 Enrollment ID: I20231006002960 |
| Provider Name | Georges Haidamous |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518585934 PECOS PAC ID: 9234584467 Enrollment ID: I20231009001685 |
| Provider Name | Avegille Tabelon Uy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346013554 PECOS PAC ID: 9638526999 Enrollment ID: I20231108000291 |
| Provider Name | Joshua David Linnell |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1942469812 PECOS PAC ID: 8729391370 Enrollment ID: I20231213003423 |
| Provider Name | Stephanie Monico |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487844684 PECOS PAC ID: 6507934213 Enrollment ID: I20240129001902 |
| Provider Name | Diana Marie Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730959735 PECOS PAC ID: 5092158295 Enrollment ID: I20240205002139 |
| Provider Name | Olivia Marie Kastor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285398719 PECOS PAC ID: 0840634309 Enrollment ID: I20240223000303 |
| Provider Name | Natalie Nicole Douglas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073379590 PECOS PAC ID: 0446695175 Enrollment ID: I20240304001770 |
| Provider Name | Matthew David Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043906589 PECOS PAC ID: 6608212675 Enrollment ID: I20240313000265 |
| Provider Name | Mischa Tice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043076755 PECOS PAC ID: 4486091758 Enrollment ID: I20240321003397 |
| Provider Name | Maday Aylen Alonso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902664410 PECOS PAC ID: 1456798578 Enrollment ID: I20240326000681 |
| Provider Name | Gregory David Heigle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841753480 PECOS PAC ID: 4284073313 Enrollment ID: I20240422001952 |
| Provider Name | Kristine Maya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174073357 PECOS PAC ID: 9830479872 Enrollment ID: I20240429000515 |
| Provider Name | Nathaniel Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184376709 PECOS PAC ID: 9931593530 Enrollment ID: I20240508001144 |
| Provider Name | Natalie M Marenghi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619472198 PECOS PAC ID: 0143570598 Enrollment ID: I20240523004102 |
| Provider Name | Margret Elizabeth Zorc |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1467913947 PECOS PAC ID: 4587107958 Enrollment ID: I20240613004614 |
| Provider Name | Matthew C Sweet |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730748898 PECOS PAC ID: 6103150933 Enrollment ID: I20240626000632 |
| Provider Name | Paul Ulrich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285291609 PECOS PAC ID: 2769715341 Enrollment ID: I20240701000273 |
| Provider Name | Jennifer S Maphis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689703647 PECOS PAC ID: 5597209585 Enrollment ID: I20240702000109 |
| Provider Name | Ty Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225406226 PECOS PAC ID: 9830633791 Enrollment ID: I20240702002495 |
| Provider Name | Ronald Jacob Mitchell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629331269 PECOS PAC ID: 5890239644 Enrollment ID: I20240703001625 |
| Provider Name | Donnell Bernard Mcdonald |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548721913 PECOS PAC ID: 2466786280 Enrollment ID: I20240709002879 |
| Provider Name | Braden James Mattison |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063077162 PECOS PAC ID: 2567907728 Enrollment ID: I20240711002592 |
| Provider Name | Micah Nieboer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336702224 PECOS PAC ID: 0547595803 Enrollment ID: I20240715004349 |
| Provider Name | Olivia Marie Rice |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609372275 PECOS PAC ID: 1254688161 Enrollment ID: I20240717002600 |
| Provider Name | George Kolettis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083177422 PECOS PAC ID: 4385979541 Enrollment ID: I20240717004364 |
| Provider Name | Matthew Darlow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467913970 PECOS PAC ID: 4183031016 Enrollment ID: I20240718000851 |
| Provider Name | Alexander James Macfarlane |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861055774 PECOS PAC ID: 3375870728 Enrollment ID: I20240722003803 |
| Provider Name | Ankur S Narain |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023408242 PECOS PAC ID: 7315295680 Enrollment ID: I20240724000287 |
| Provider Name | Scott Holm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851137939 PECOS PAC ID: 6204372436 Enrollment ID: I20240724003052 |
| Provider Name | Lukas Emile Hashem |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063110708 PECOS PAC ID: 2062876691 Enrollment ID: I20240729001951 |
| Provider Name | Jared M Newman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508360694 PECOS PAC ID: 7517204639 Enrollment ID: I20240731000017 |
| Provider Name | Ashley A. Henning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518594712 PECOS PAC ID: 9234553645 Enrollment ID: I20240802003903 |
| Provider Name | Samuel Joseph Swiggett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942732029 PECOS PAC ID: 8022360577 Enrollment ID: I20240822004652 |
| Provider Name | Colin Keith Cantrell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932668258 PECOS PAC ID: 3274867395 Enrollment ID: I20240826002100 |
| Provider Name | Amanda Dumar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225860802 PECOS PAC ID: 6406396423 Enrollment ID: I20240905001462 |
| Provider Name | Julia Lutz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679306294 PECOS PAC ID: 3375083173 Enrollment ID: I20240907000060 |
| Provider Name | Madeline Elena Fezzie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972213510 PECOS PAC ID: 8628518867 Enrollment ID: I20240913002520 |
| Provider Name | Kelsey Mcmurray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265013486 PECOS PAC ID: 5496140659 Enrollment ID: I20240926004641 |
| Provider Name | Brandon Stone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851123707 PECOS PAC ID: 0244761336 Enrollment ID: I20240930003527 |
| Provider Name | Rachel Elizabeth Becker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629530316 PECOS PAC ID: 4688907686 Enrollment ID: I20241013000164 |
| Provider Name | Michael Elsenbeck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164832176 PECOS PAC ID: 1355752346 Enrollment ID: I20241016004618 |
| Provider Name | Madelyn Elizabeth Wengyn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609601194 PECOS PAC ID: 8224561691 Enrollment ID: I20241024001833 |
| Provider Name | Sydney Renee Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669225439 PECOS PAC ID: 7618400854 Enrollment ID: I20241028001054 |
| Provider Name | Ricardo John Manuel Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386462778 PECOS PAC ID: 7416480470 Enrollment ID: I20241029002758 |
| Provider Name | Darlene Marie Chamorro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285458331 PECOS PAC ID: 8527593946 Enrollment ID: I20241121004888 |
| Provider Name | Sasha G Myers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164130894 PECOS PAC ID: 9436684743 Enrollment ID: I20241122004376 |
Seasons Of Life Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 319 Gaile Ave, Tallahassee, FL 32305 Phone: 850-557-7975 Fax: 833-975-0096 | |
Tallahassee Neurology Associates, P.a. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2868 Mahan Dr, Suite 5, Tallahassee, FL 32308 Phone: 850-942-7177 Fax: 850-656-9443 | |
Psychiatry Associates Of Tallahassee, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1407 M D Ln Ste A, Tallahassee, FL 32308 Phone: 850-877-0635 Fax: 850-205-0195 | |
Dna Comprehensive Therapy Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1965 Capital Cir Ne Ste 102, Tallahassee, FL 32308 Phone: 850-671-4600 | |
Renewing Minds Counseling And Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4047 Ailanthus Ct, Tallahassee, FL 32305 Phone: 850-692-9268 | |
Dr. Peter Debelius-enemark, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1407 M D Ln Ste A, Tallahassee, FL 32308 Phone: 850-877-0635 Fax: 850-205-0195 | |
Tallahassee Therapy Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 W 4th Ave, Tallahassee, FL 32303 Phone: 850-241-5707 |