| Allyson M Roller, OT | |
|
405 Racetrack Rd Ne, Suite 101, Fort Walton Beach, FL 32547-2561 | |
| (850) 863-4747 | |
| (850) 863-4658 |
| Full Name | Allyson M Roller |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 405 Racetrack Rd Ne, Fort Walton Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407270267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 3765 (Alabama) | Secondary |
| 225X00000X | Occupational Therapist | 17838 (Florida) | Primary |
| Provider Name | Select Physical Therapy Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1619939766 PECOS PAC ID: 9537076401 Enrollment ID: O20160912002365 |
| Mailing Address | Practice Location Address |
|---|---|
| Allyson M Roller, OT 405 Racetrack Rd Ne, Suite 101, Fort Walton Beach, FL 32547-2561 Ph: (850) 863-4747 | Allyson M Roller, OT 405 Racetrack Rd Ne, Suite 101, Fort Walton Beach, FL 32547-2561 Ph: (850) 863-4747 |
Kayla Brooke Richards, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2104 Lewis Turner Blvd, Fort Walton Beach, FL 32547 Phone: 850-862-3728 Fax: 850-862-6270 | |
Mary Aninos, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2104 Lewis Turner Blvd, Fort Walton Beach, FL 32547 Phone: 850-862-3728 Fax: 850-862-6270 | |
Brenda Royster, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 928 Mar Walt Drive, Suite 104, Fort Walton Beach, FL 32547 Phone: 850-863-4747 | |
Peyton Faith Worsham, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 243 Hollywood Blvd Nw, Fort Walton Beach, FL 32548 Phone: 850-601-9133 | |
Hannah Gaylord, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 Eglin Pkwy Se, Fort Walton Beach, FL 32548 Phone: 850-200-4348 | |
Brianne Liles, ORT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8 Walter Martin Rd Ne, Fort Walton Beach, FL 32548 Phone: 850-862-7227 | |
Mrs. Mary Bryce-travis, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 Eglin Pkwy Se, Fort Walton Beach, FL 32548 Phone: 850-200-4348 |