Christopher Edmonsond, MPT | |
1950 Bluewater Blvd, Suite 101, Niceville, FL 32578-3887 | |
(850) 897-3334 | |
(850) 897-7855 |
Full Name | Christopher Edmonsond |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1950 Bluewater Blvd, Niceville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902929458 | NPI | - | NPPES |
Y906W | Other | FL | BCBSFL GRP # |
BQ086Z | Other | FL | MEDICARE PTAN |
892071100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT23309 (Florida) | Primary |
Provider Name | Emerald Coast Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1780141572 PECOS PAC ID: 2163754722 Enrollment ID: O20191031000387 |
Mailing Address | Practice Location Address |
---|---|
Christopher Edmonsond, MPT Po Box 1772, Suite 101, Crestview, FL 32536-7772 Ph: (850) 682-7772 | Christopher Edmonsond, MPT 1950 Bluewater Blvd, Suite 101, Niceville, FL 32578-3887 Ph: (850) 897-3334 |
Mr. Cory Marcus Scott, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1003 College Blvd W, Suite 1, Niceville, FL 32578 Phone: 850-862-1999 | |
Tyler Belser Goodman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4554 E Highway 20, Niceville, FL 32578 Phone: 850-897-7772 | |
Dawn A Brognano, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1950 Bluewater Blvd, Suite 101, Niceville, FL 32578 Phone: 850-897-3334 Fax: 850-897-7855 | |
Mrs. Melissa Renee Duhaime, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1715 Lilaberry Ln, Niceville, FL 32578 Phone: 850-217-9088 | |
Pamela Kay Steele, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4554 E Highway 20 Ste B, Niceville, FL 32578 Phone: 850-897-7772 | |
Halie Quick, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4554 E Highway 20, Niceville, FL 32578 Phone: 850-897-7772 Fax: 888-308-1539 | |
Rochelle Kandler, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1003 College Blvd W Ste 1, Niceville, FL 32578 Phone: 850-279-4660 |