| Daniel Peterson, | |
|
2600 Dr Mlk Jr Street N, Ste 200b, St Petersburg, FL 33704-2744 | |
| (727) 202-4625 | |
| Not Available |
| Full Name | Daniel Peterson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2600 Dr Mlk Jr Street N, St Petersburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295211878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT31824 (Florida) | Primary |
| Provider Name | Optimal Performance And Physical Therapies St Petersburg, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1073085734 PECOS PAC ID: 1557699212 Enrollment ID: O20200107000369 |
| Provider Name | Florida Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1114542032 PECOS PAC ID: 3779991559 Enrollment ID: O20210415001126 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Peterson, 21756 State Road 54 Ste 102, Lutz, FL 33549-2905 Ph: (440) 475-5540 | Daniel Peterson, 2600 Dr Mlk Jr Street N, Ste 200b, St Petersburg, FL 33704-2744 Ph: (727) 202-4625 |
Purpose Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 6619 1st Ave S, St Petersburg, FL 33707 Phone: 417-315-5777 | |
Mrs. Cynthia Ann Driver Saldanha, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 6th St S, St Petersburg, FL 33701 Phone: 727-767-8093 Fax: 727-767-4004 | |
Alliance Sports Rehab Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 2nd Ave Ne Ste 1401, St Petersburg, FL 33701 Phone: 727-258-7224 | |
Danielle Marie Wanek, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 1st Ave N Unit 4201, St Petersburg, FL 33701 Phone: 608-772-7727 | |
Bao-quyen Nguyen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 260 1st Ave S Ste 200-161, St Petersburg, FL 33701 Phone: 727-803-1102 | |
Kimberley D Carson, P.T., D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-6913 Fax: 727-767-6757 | |
Aegis Group Practice Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 34th St S, St Petersburg, FL 33711 Phone: 800-444-6845 Fax: 479-478-2852 |