Mrs Kassondra L Macy, OT | |
17835 Murdock Cir, Port Charlotte, FL 33948-4000 | |
(941) 625-6547 | |
(941) 629-6415 |
Full Name | Mrs Kassondra L Macy |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Pediatrics |
Location | 17835 Murdock Cir, Port Charlotte, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467448258 | NPI | - | NPPES |
Z076F | Other | FL | BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | OT11580 (Florida) | Primary |
Provider Name | Legacy Healthcare Services Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1336535988 PECOS PAC ID: 2163339722 Enrollment ID: O20150805009289 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kassondra L Macy, OT 17835 Murdock Cir, Port Charlotte, FL 33948-4000 Ph: (941) 625-6547 | Mrs Kassondra L Macy, OT 17835 Murdock Cir, Port Charlotte, FL 33948-4000 Ph: (941) 625-6547 |
Ms. Elizabeth A George, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 24011 Madaca Ln Apt 6-204, Port Charlotte, FL 33954 Phone: 717-856-5552 | |
Mrs. Chanda Pollock, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3417 Tamiami Trl Ste A, Port Charlotte, FL 33952 Phone: 941-624-6222 Fax: 941-624-6821 | |
Arlen Maunahan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 25325 Rampart Blvd, Port Charlotte, FL 33983 Phone: 941-629-7466 | |
Ms. Sheila Marie Flaherty, LR OT CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4161 Tamiami Trl, Unit 101, Port Charlotte, FL 33952 Phone: 941-625-0984 Fax: 941-625-0877 | |
Claire June Pinkerton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 992 Tamiami Trl Unit H2, Port Charlotte, FL 33953 Phone: 941-888-7844 | |
Judith Ann Cusimano-connors, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Kings Hwy Unit 2f, Port Charlotte, FL 33980 Phone: 941-888-4561 Fax: 941-444-0599 | |
Rosa Lezhnyak, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4000 Kings Hwy, Port Charlotte, FL 33980 Phone: 941-255-5855 |