| Andrea Bryant, | |
|
917 Beville Rd, Suite G, South Daytona, FL 32119-1712 | |
| (386) 756-4395 | |
| (866) 426-2811 |
| Full Name | Andrea Bryant |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 917 Beville Rd, South Daytona, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275798415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01278000 (New Jersey) | Primary |
| Provider Name | Emory Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922018423 PECOS PAC ID: 1153382676 Enrollment ID: O20041019000776 |
| Provider Name | Georgia Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245826999 PECOS PAC ID: 4082027727 Enrollment ID: O20210119001811 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Bryant, 659 Howard Ave, Atlantic City, NJ 08401-2332 Ph: (678) 613-2580 | Andrea Bryant, 917 Beville Rd, Suite G, South Daytona, FL 32119-1712 Ph: (386) 756-4395 |
Jennifer Haag, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 917 Beville Rd, Suite G, South Daytona, FL 32119 Phone: 386-756-4395 Fax: 866-426-2811 | |
Matthew James Biegler Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Venture Dr Ste C, South Daytona, FL 32119 Phone: 386-763-0084 | |
Mr. Jose Daniel Villasana, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Venture Dr Ste C, South Daytona, FL 32119 Phone: 386-763-0084 | |
Ravin Michelle Chase, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 917 Beville Rd, Ste G, South Daytona, FL 32119 Phone: 386-756-4395 Fax: 866-426-2811 | |
Jamie Marie Thompson, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Venture Dr Ste B, South Daytona, FL 32119 Phone: 386-763-0084 Fax: 386-763-0085 | |
Cyril Buddy Leavvitt, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 917 Beville Rd, Suite G, South Daytona, FL 32119 Phone: 386-756-4395 Fax: 866-426-2811 | |
Sara A Mitchell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 917 Beville Rd, Ste G, South Daytona, FL 32119 Phone: 386-756-4395 |