| Jennifer Diane Edmister, OTR/L | |
|
1320 Oakfield Dr, Brandon, FL 33511-4860 | |
| (727) 803-1102 | |
| (727) 502-6027 |
| Full Name | Jennifer Diane Edmister |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1320 Oakfield Dr, Brandon, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861043572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT10795 (Florida) | Primary |
| Provider Name | Therapeutic Interventions Of West Florida Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1831219849 PECOS PAC ID: 1254302847 Enrollment ID: O20040805000900 |
| Provider Name | Creative Health Care Management Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790302164 PECOS PAC ID: 4385929892 Enrollment ID: O20200727001211 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Diane Edmister, OTR/L 260 1st Ave S Ste 200, Saint Petersburg, FL 33701-4364 Ph: (727) 803-1102 | Jennifer Diane Edmister, OTR/L 1320 Oakfield Dr, Brandon, FL 33511-4860 Ph: (727) 803-1102 |
Michael Miller, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1320 Oakfield Dr, Brandon, FL 33511 Phone: 727-803-1102 | |
Alison Jussaume, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 602 Vonderburg Dr, Suite 201, Brandon, FL 33511 Phone: 813-653-1149 Fax: 813-654-6644 | |
Diana Marie Riva, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 Ridgewood Ave, Brandon, FL 33510 Phone: 813-662-1060 Fax: 813-662-0530 | |
Kathleen Pici, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 602 Vonderburg Dr, Suite 201, Brandon, FL 33511 Phone: 813-653-1149 Fax: 813-654-6644 | |
Mrs. Tierra S Momplaisir, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 Ridgewood Ave Pediatric Therapy Services, Brandon, FL 33510 Phone: 813-662-1060 Fax: 813-662-0530 | |
Mrs. Dail Wooten Hovey, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 Ridgewood Ave, Brandon, FL 33510 Phone: 813-662-1060 | |
Ms. April Fletcher, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 602 Vonderburg Dr, Suite 201, Brandon, FL 33511 Phone: 813-653-1149 Fax: 813-654-6644 |