Dylan Shaw, PT | |
1615 Pasadena Ave S Ste 150, South Pasadena, FL 33707-4517 | |
(813) 978-9700 | |
Not Available |
Full Name | Dylan Shaw |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1615 Pasadena Ave S Ste 150, South Pasadena, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457057382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT39899 (Florida) | Primary |
Provider Name | Musculoskeletal Institute Chartered |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386639920 PECOS PAC ID: 1052224102 Enrollment ID: O20031106000215 |
Mailing Address | Practice Location Address |
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Dylan Shaw, PT 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0915 Ph: (813) 978-9700 | Dylan Shaw, PT 1615 Pasadena Ave S Ste 150, South Pasadena, FL 33707-4517 Ph: (813) 978-9700 |
Ms. Anne-marie Belott, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1615 Pasadena Ave S Ste 150, South Pasadena, FL 33707 Phone: 727-527-5272 Fax: 727-522-7412 | |
Dr. Autumn Breanne Hanson, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1501 Pasadena Ave S, South Pasadena, FL 33707 Phone: 727-381-1000 | |
Ann Schweitzer Kimbrough, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 761 Oleander Way S, South Pasadena, FL 33707 Phone: 727-599-8840 | |
Amos Kotz, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1615 Pasadena Ave S Ste 150, South Pasadena, FL 33707 Phone: 813-978-9700 | |
Rachel Calcaterra, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1820 Shore Dr S, South Pasadena, FL 33707 Phone: 727-851-9805 | |
Tyler Jay Burdsall, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1615 Pasadena Ave S Ste 150, South Pasadena, FL 33707 Phone: 813-978-9700 Fax: 813-558-6185 |