| Active Living Rehabilitation Inc | |
|
10446 Pontofino Cir, Trinity, FL 34655 | |
| (727) 376-4012 | |
| (727) 375-7878 |
| Full Name | Active Living Rehabilitation Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 10446 Pontofino Cir, Trinity, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437362787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Beverly J Wallace |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174595367 PECOS PAC ID: 0840352118 Enrollment ID: I20081219000488 |
| Provider Name | Shelley S West |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992914048 PECOS PAC ID: 9537066980 Enrollment ID: I20090504000379 |
| Provider Name | Stephanie Crawford |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760636674 PECOS PAC ID: 5294165536 Enrollment ID: I20200428001654 |
| Mailing Address | Practice Location Address |
|---|---|
| Active Living Rehabilitation Inc 10446 Pontofino Cir, Trinity, FL 34655-7057 Ph: (727) 376-4012 | Active Living Rehabilitation Inc 10446 Pontofino Cir, Trinity, FL 34655 Ph: (727) 376-4012 |
Jordan J Kaylor, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11157 Trinity Blvd, Trinity, FL 34655 Phone: 727-645-4120 | |
Eric Daniel Schindler, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10015 Trinity Blvd Ste B, Trinity, FL 34655 Phone: 727-203-3760 | |
Amanda Colucci, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2433 Country Place Blvd, Bldg B, Trinity, FL 34655 Phone: 813-844-8200 | |
Andrew James Brunner, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1807 Short Branch Dr Ste 103, Trinity, FL 34655 Phone: 727-372-5500 | |
Optimal Performance And Physical Therapies Trinity Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 11157 Trinity Blvd, Trinity, FL 34655 Phone: 813-381-6778 | |
Eric Breitweiser, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2044 Trinity Oaks Blvd Ste 110, Trinity, FL 34655 Phone: 813-978-9700 | |
Rainmaker Associated Partners Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10332 Tecoma Dr, Trinity, FL 34655 Phone: 727-271-9156 |