| 65 Plus Physical Therapy - Country Club Physical Therapy | |
|
1978 Tamiami Trl S, Suite 5 & 6, Venice, FL 34293-5006 | |
| (941) 451-6607 | |
| (941) 451-2028 |
| Full Name | 65 Plus Physical Therapy - Country Club Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Geriatrics |
| Location | 1978 Tamiami Trl S, Venice, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205292489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251G0304X | Physical Therapist - Geriatrics | 21464 (Florida) | Primary |
| Provider Name | Matthew Corn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922051945 PECOS PAC ID: 5698738003 Enrollment ID: I20041108000102 |
| Provider Name | Susan Gammon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841308707 PECOS PAC ID: 1557386927 Enrollment ID: I20051014000137 |
| Provider Name | Pieter H. Tepaske |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417085069 PECOS PAC ID: 0547314627 Enrollment ID: I20190123001499 |
| Provider Name | Janet Gamache |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528155165 PECOS PAC ID: 1951352046 Enrollment ID: I20220719003743 |
| Mailing Address | Practice Location Address |
|---|---|
| 65 Plus Physical Therapy - Country Club Physical Therapy 350 W Venice Ave # 1946, Venice, FL 34285-0001 Ph: (941) 451-6691 | 65 Plus Physical Therapy - Country Club Physical Therapy 1978 Tamiami Trl S, Suite 5 & 6, Venice, FL 34293-5006 Ph: (941) 451-6607 |
Roselle Joyce Beltran, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5865 Osprey Road, Venice, FL 34293 Phone: 941-268-9911 | |
Dr. Ryan Scott Fronrath, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 836 Sunset Lake Blvd Ste 201, Venice, FL 34292 Phone: 941-497-1737 | |
Mrs. Timi Jean Barletta, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 836 Sunset Lake Blvd, Suite 201, Venice, FL 34292 Phone: 941-497-1737 Fax: 941-497-7889 | |
Jordan Estuardo Palma, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3030 Executive Dr, Venice, FL 34292 Phone: 941-485-1505 Fax: 941-485-7495 | |
Plantation Gcc Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Rockley Blvd, Venice, FL 34293 Phone: 941-204-3555 | |
Linda P Princiotta, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1223 Jacaranda Blvd, Venice, FL 34292 Phone: 941-486-6420 | |
Ms. Dolores Theresa Biagini, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Tamiami Trl S, Suite #210, Venice, FL 34285 Phone: 941-483-3400 Fax: 941-483-3422 |