| Dynamic Mobile Rehab Llc | |
|
21208 Waymouth Run, Estero, FL 33928-3243 | |
| (401) 256-9997 | |
| Not Available |
| Full Name | Dynamic Mobile Rehab Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 21208 Waymouth Run, Estero, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356086961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Deborah Sutton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992034334 PECOS PAC ID: 1951350552 Enrollment ID: I20100223000473 |
| Provider Name | Jenneth B Angeles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740469097 PECOS PAC ID: 4587944921 Enrollment ID: I20161201000501 |
| Provider Name | Vanesia Ford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841754546 PECOS PAC ID: 7911245899 Enrollment ID: I20190219002779 |
| Provider Name | Hetali Binoy Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972064483 PECOS PAC ID: 2466794672 Enrollment ID: I20190508001075 |
| Provider Name | Tegan Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194970251 PECOS PAC ID: 8224325212 Enrollment ID: I20200601001149 |
| Provider Name | Adam D Long |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356570295 PECOS PAC ID: 9931253978 Enrollment ID: I20210120001431 |
| Provider Name | Lauren N Cumpston |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316413891 PECOS PAC ID: 2668873464 Enrollment ID: I20210630003696 |
| Provider Name | Haley Pigott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104596188 PECOS PAC ID: 0345639225 Enrollment ID: I20211115002231 |
| Provider Name | Slavica Krushenka Bjazevic |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578206025 PECOS PAC ID: 2961881214 Enrollment ID: I20220616002929 |
| Provider Name | Mekaael Mahmoud |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568046415 PECOS PAC ID: 1658751714 Enrollment ID: I20220707000221 |
| Provider Name | Regan Romanoski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932177623 PECOS PAC ID: 3577790096 Enrollment ID: I20230103001304 |
| Provider Name | Beverly Patten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265144620 PECOS PAC ID: 9436529518 Enrollment ID: I20230106000069 |
| Provider Name | Maydelis Pena |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205380144 PECOS PAC ID: 6800252859 Enrollment ID: I20230516003527 |
| Provider Name | Ariel Rozanski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053666362 PECOS PAC ID: 5890942247 Enrollment ID: I20230920003335 |
| Provider Name | Justin Rowley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912383134 PECOS PAC ID: 5890080071 Enrollment ID: I20231013002632 |
| Provider Name | Mckenzi Genslinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194415778 PECOS PAC ID: 1951757749 Enrollment ID: I20231031001484 |
| Provider Name | Alyssa Lauren Harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104699057 PECOS PAC ID: 1355791484 Enrollment ID: I20240102001119 |
| Provider Name | Adrian Horca Ng |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457862617 PECOS PAC ID: 9133488174 Enrollment ID: I20240118001649 |
| Provider Name | Jeffrey Strzelczyk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023185089 PECOS PAC ID: 4789037938 Enrollment ID: I20240124003041 |
| Provider Name | Sebastian Schueler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568836310 PECOS PAC ID: 7719326362 Enrollment ID: I20240416003121 |
| Provider Name | Sutter Caton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811564230 PECOS PAC ID: 6800235813 Enrollment ID: I20240423002239 |
| Provider Name | Tiffany Kern |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487221974 PECOS PAC ID: 3476095357 Enrollment ID: I20240606002350 |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Mobile Rehab Llc 21208 Waymouth Run, Estero, FL 33928-3243 Ph: (401) 256-9997 | Dynamic Mobile Rehab Llc 21208 Waymouth Run, Estero, FL 33928-3243 Ph: (401) 256-9997 |
Meira Charlee Buck, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9470 Corkscrew Palms Cir Ste 104, Estero, FL 33928 Phone: 802-323-7109 | |
Laura Katherine Dubois, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9250 Corkscrew Rd, Estero, FL 33928 Phone: 239-390-1656 | |
Carol Patton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13601 Lesina Ct, Estero, FL 33928 Phone: 239-980-7777 | |
Mekaael Mahmoud, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 21208 Waymouth Run, Estero, FL 33928 Phone: 401-256-9997 | |
Joan Gargiula Richards, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9250 Corkscrew Rd, Unit 10, Estero, FL 33928 Phone: 239-390-1656 Fax: 239-390-1686 | |
Sandra M Pilarski, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10442 Autumn Breeze Dr #101, Estero, FL 34135 Phone: 847-420-9744 |