| |
6724 Forest Hill Blvd, Greenacres, FL 33413-3335 | |
(561) 433-2009 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 6724 Forest Hill Blvd, Greenacres, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568971901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Richard D Serianni |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508975186 PECOS PAC ID: 5698766533 Enrollment ID: I20040520000281 |
Provider Name | Cameron J Gordon |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508902727 PECOS PAC ID: 8628171568 Enrollment ID: I20070313000456 |
Provider Name | Olufemi Sonubi |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073023966 PECOS PAC ID: 9931465655 Enrollment ID: I20191126001640 |
Provider Name | Ryan Kennedy |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629627740 PECOS PAC ID: 0244569424 Enrollment ID: I20210621001191 |
Provider Name | Patrick Dudley |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407401532 PECOS PAC ID: 7214267236 Enrollment ID: I20211013003290 |
Provider Name | Franchesca I Ferrer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982361218 PECOS PAC ID: 5597156398 Enrollment ID: I20220105002875 |
Provider Name | Nidhi Logani |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932555968 PECOS PAC ID: 5698162436 Enrollment ID: I20220426003179 |
Provider Name | Erin Nancy Crotty |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932855376 PECOS PAC ID: 2860879897 Enrollment ID: I20230124001061 |
Provider Name | Chantel Hubbard |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063117869 PECOS PAC ID: 7719341411 Enrollment ID: I20230914000089 |
Provider Name | Rachel Dutra |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083490312 PECOS PAC ID: 3577911890 Enrollment ID: I20231128001021 |
Provider Name | Christine Brown |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538792627 PECOS PAC ID: 0547698144 Enrollment ID: I20240507000141 |
Mailing Address | Practice Location Address |
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15 Apex Dr, Highland, IL 62249-1282 Ph: (618) 651-0444 | 6724 Forest Hill Blvd, Greenacres, FL 33413-3335 Ph: (561) 433-2009 |