| Desarae Nicole Dohogne, PT | |
|
190 Southpark Blvd, Saint Augustine, FL 32086-4208 | |
| (904) 824-1478 | |
| (210) 688-9228 |
| Full Name | Desarae Nicole Dohogne |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 190 Southpark Blvd, Saint Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346673787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1232891 (Texas) | Secondary |
| 225100000X | Physical Therapist | PT36344 (Florida) | Primary |
| Provider Name | Mission Rehabilitation And Sports Medicine Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1053559443 PECOS PAC ID: 6709943160 Enrollment ID: O20090330000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Desarae Nicole Dohogne, PT 190 Southpark Blvd, Saint Augustine, FL 32086-4208 Ph: (904) 824-1478 | Desarae Nicole Dohogne, PT 190 Southpark Blvd, Saint Augustine, FL 32086-4208 Ph: (904) 824-1478 |
Heather Leshane, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Health Park Blvd, Saint Augustine, FL 32086 Phone: 904-819-4374 Fax: 904-819-4958 | |
David Lomaglio, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Mariner Health Way, Ste 213, Saint Augustine, FL 32086 Phone: 904-217-4259 Fax: 904-217-4251 | |
Holly Faunce, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Mariner Health Way, Suite 213, Saint Augustine, FL 32086 Phone: 904-217-4259 Fax: 904-217-4251 | |
Mary Courtney Allen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 427 Saint Johns Golf Dr, Saint Augustine, FL 32092 Phone: 305-710-9251 | |
Boost Physiotherapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Southpark Blvd Ste 204d, Saint Augustine, FL 32086 Phone: 904-770-1481 | |
Melissa Sue Wood, PT, DPT, MTC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Mariner Health Way Ste 213, Saint Augustine, FL 32086 Phone: 904-217-4259 Fax: 904-217-4251 | |
Monica Perez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900b Anastasia Blvd, Saint Augustine, FL 32080 Phone: 904-392-1621 |