Elder Athlete Physical Therapy Pllc in St Petersburg, FL - Medicare Physical Therapist Provider

Elder Athlete Physical Therapy Pllc is a medicare enrolled "Physical Therapist" provider in St Petersburg, Florida. Their current practice location is 490 1st Ave S Ste 220, St Petersburg, Florida. You can reach out to their office (for appointments etc.) via phone at (727) 380-4887.

Elder Athlete Physical Therapy Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Elder Athlete Physical Therapy Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1841944519.

Contact Information

	Elder Athlete Physical Therapy Pllc
	490 1st Ave S Ste 220, St Petersburg, FL 33701-4287
	(727) 380-4887
	(727) 290-4328

Map and Direction

Healthcare Provider's Profile

Full Name	Elder Athlete Physical Therapy Pllc
Type	Facility
Speciality	Physical Therapist
Location	490 1st Ave S Ste 220, St Petersburg, Florida
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841944519
Provider Enumeration Date: 02/10/2022
Last Update Date: 02/10/2022

Medicare PECOS Information:

PECOS PAC ID: 0547654998
Enrollment ID: O20221208002059

Medical Identifiers

Medical identifiers for Elder Athlete Physical Therapy Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841944519	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Elder Athlete Physical Therapy Pllc acts as a billing entity for following providers:

Provider Name	Lucie Marie Stagg
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1255910592 PECOS PAC ID: 0941619696 Enrollment ID: I20210510000527

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elder Athlete Physical Therapy Pllc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Elder Athlete Physical Therapy Pllc 400 4th Ave S Apt 106, St Petersburg, FL 33701-4621 Ph: (727) 380-4887	Elder Athlete Physical Therapy Pllc 490 1st Ave S Ste 220, St Petersburg, FL 33701-4287 Ph: (727) 380-4887

Reviews and Comments

Physical Therapist in St Petersburg, FL

Purpose Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 6619 1st Ave S, St Petersburg, FL 33707 Phone: 417-315-5777
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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
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Elder Athlete Physical Therapy Pllc - Medicare Physical Therapist in St Petersburg, FL