| Healthpro Heritage Rehab & Fitness, Llc | |
|
9731 Commerce Center Ct, Fort Myers, FL 33908-1400 | |
| (239) 334-9885 | |
| (239) 344-8654 |
| Full Name | Healthpro Heritage Rehab & Fitness, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 9731 Commerce Center Ct, Fort Myers, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871972653 | NPI | - | NPPES |
| Provider Name | Lorraine Consolazio |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699113381 PECOS PAC ID: 3274437710 Enrollment ID: I20031125000650 |
| Provider Name | Laura Moss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063477826 PECOS PAC ID: 4385639871 Enrollment ID: I20040415000372 |
| Provider Name | Edgar J Depool |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942449160 PECOS PAC ID: 4183606031 Enrollment ID: I20040604000240 |
| Provider Name | Emmanuel D Benony |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295166726 PECOS PAC ID: 5092600270 Enrollment ID: I20041122000833 |
| Provider Name | Liliana Garces |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528244167 PECOS PAC ID: 7214994193 Enrollment ID: I20041213000320 |
| Provider Name | Jared Mallory |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679896534 PECOS PAC ID: 5294753281 Enrollment ID: I20051108000862 |
| Provider Name | Leslie Rake |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225017437 PECOS PAC ID: 1850319567 Enrollment ID: I20051110000402 |
| Provider Name | Constance Lee King |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457488850 PECOS PAC ID: 6305854647 Enrollment ID: I20060329000275 |
| Provider Name | Monika Katherine Marks |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669693107 PECOS PAC ID: 7810080835 Enrollment ID: I20070907000355 |
| Provider Name | Matthew D Fehniger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689867889 PECOS PAC ID: 4284720699 Enrollment ID: I20071017000278 |
| Provider Name | Susan Patenaude |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467612028 PECOS PAC ID: 5991845547 Enrollment ID: I20091214000071 |
| Provider Name | Carmen Medina |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386747293 PECOS PAC ID: 4183764384 Enrollment ID: I20091219000113 |
| Provider Name | Amy Cornell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265475149 PECOS PAC ID: 8426181447 Enrollment ID: I20100728000343 |
| Provider Name | Deana L Mauro |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891015715 PECOS PAC ID: 4385833284 Enrollment ID: I20110107000339 |
| Provider Name | Lina M Quintela |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447560651 PECOS PAC ID: 4880871110 Enrollment ID: I20110614000076 |
| Provider Name | Judith A Brown-ray |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760516520 PECOS PAC ID: 8426235649 Enrollment ID: I20110615000362 |
| Provider Name | Krysti James |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962699108 PECOS PAC ID: 9638357742 Enrollment ID: I20110620000447 |
| Provider Name | Robin R Craver |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659676609 PECOS PAC ID: 7517133275 Enrollment ID: I20111229000540 |
| Provider Name | Diane A Battaglia |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306119789 PECOS PAC ID: 0042469595 Enrollment ID: I20120927000451 |
| Provider Name | Paul A Laine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285829283 PECOS PAC ID: 8426201484 Enrollment ID: I20121227000269 |
| Provider Name | Cynthia L Meacham |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710223797 PECOS PAC ID: 6406000678 Enrollment ID: I20130218000204 |
| Provider Name | Monique C Morin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447528542 PECOS PAC ID: 4587890017 Enrollment ID: I20131112000052 |
| Provider Name | Dana A Kurty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538597307 PECOS PAC ID: 7719118165 Enrollment ID: I20140327001102 |
| Provider Name | Sandhya Koripalli Chiranjeevi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891025193 PECOS PAC ID: 0042472656 Enrollment ID: I20141008001669 |
| Provider Name | Deirdre Foudy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407823222 PECOS PAC ID: 2567405137 Enrollment ID: I20150423001105 |
| Provider Name | Lisa D Calhoun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801283932 PECOS PAC ID: 7618297391 Enrollment ID: I20150520001313 |
| Provider Name | Nancy R Goddard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861613226 PECOS PAC ID: 4688984719 Enrollment ID: I20151102002289 |
| Provider Name | Meagan Nicole True |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124404611 PECOS PAC ID: 3072813104 Enrollment ID: I20151123000383 |
| Provider Name | Jeannine Frick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629265392 PECOS PAC ID: 5698064277 Enrollment ID: I20160520001782 |
| Provider Name | Catherine S Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649452376 PECOS PAC ID: 6204889546 Enrollment ID: I20160705001191 |
| Provider Name | Sherrie Ann Lanceta Aquino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144776949 PECOS PAC ID: 1850670324 Enrollment ID: I20161128001957 |
| Provider Name | Rachel Carlton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467744839 PECOS PAC ID: 8022256643 Enrollment ID: I20170511002505 |
| Provider Name | Allison R. Shapiro |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952439374 PECOS PAC ID: 9931204534 Enrollment ID: I20171010001589 |
| Provider Name | Robin B Adams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982146700 PECOS PAC ID: 4385900042 Enrollment ID: I20171113002232 |
| Provider Name | Alison M Morse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174967640 PECOS PAC ID: 4486910882 Enrollment ID: I20171116002710 |
| Provider Name | Janice B Delapaz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659413169 PECOS PAC ID: 8820190267 Enrollment ID: I20180124002159 |
| Provider Name | Charlene J Antonacci |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265804694 PECOS PAC ID: 4789945106 Enrollment ID: I20180228000576 |
| Provider Name | Upasna R Rathor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376855494 PECOS PAC ID: 3971628181 Enrollment ID: I20180305001645 |
| Provider Name | Kim G Tan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982028478 PECOS PAC ID: 3173886140 Enrollment ID: I20180405000545 |
| Provider Name | Justine L Fradillada |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013450808 PECOS PAC ID: 6901161355 Enrollment ID: I20180605003476 |
| Provider Name | Kelly Lewis Hunt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164929113 PECOS PAC ID: 1456616747 Enrollment ID: I20180608000388 |
| Provider Name | Amber D Singleton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760846075 PECOS PAC ID: 6800141011 Enrollment ID: I20180612000809 |
| Provider Name | Jonathan Gonzalez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295215200 PECOS PAC ID: 5991057739 Enrollment ID: I20181005002809 |
| Provider Name | Cynthia Ann Driver Saldanha |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023154606 PECOS PAC ID: 2860738440 Enrollment ID: I20190118001492 |
| Provider Name | Megan Reese |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851545651 PECOS PAC ID: 0446597280 Enrollment ID: I20190131002689 |
| Provider Name | Rosannie Acevedo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891287876 PECOS PAC ID: 0446598858 Enrollment ID: I20190211001012 |
| Provider Name | Seena Kuruvilla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952857468 PECOS PAC ID: 1850631755 Enrollment ID: I20190312002356 |
| Provider Name | Pamela M Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679733919 PECOS PAC ID: 2860732120 Enrollment ID: I20190322001790 |
| Provider Name | Ajith Simon Abraham |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477825545 PECOS PAC ID: 4981944196 Enrollment ID: I20190326002659 |
| Provider Name | Laura Mae Mazelis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235511122 PECOS PAC ID: 6002156122 Enrollment ID: I20190327000865 |
| Provider Name | Melisssa D Rosenberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013018985 PECOS PAC ID: 3173864840 Enrollment ID: I20190405000686 |
| Provider Name | Helen Bizjack |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053712331 PECOS PAC ID: 9537400197 Enrollment ID: I20190408002213 |
| Provider Name | Sarah Elizabeth Cernat |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275198764 PECOS PAC ID: 4486997814 Enrollment ID: I20190528001205 |
| Provider Name | Keri O'brien |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902818347 PECOS PAC ID: 1951634567 Enrollment ID: I20190613003050 |
| Provider Name | Mellanie Marie Saunders |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679037717 PECOS PAC ID: 3375879380 Enrollment ID: I20190730000761 |
| Provider Name | Daniel Cummings |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1013219104 PECOS PAC ID: 5294062840 Enrollment ID: I20190806001376 |
| Provider Name | Kellie R Coombs |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396107678 PECOS PAC ID: 9234466079 Enrollment ID: I20190816000275 |
| Provider Name | Autumn Ellis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659930147 PECOS PAC ID: 3274862792 Enrollment ID: I20190909004041 |
| Provider Name | Beryl D Licu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225436082 PECOS PAC ID: 4981934999 Enrollment ID: I20190917004239 |
| Provider Name | Dawna Dawson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275856205 PECOS PAC ID: 9739419144 Enrollment ID: I20190927002070 |
| Provider Name | Cecilia Ortega-bondi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316088859 PECOS PAC ID: 7113258963 Enrollment ID: I20191009003163 |
| Provider Name | Ruth Danitza Cruz Irizarry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588161970 PECOS PAC ID: 4385975093 Enrollment ID: I20191010002396 |
| Provider Name | Dennis Disilvestro |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184275737 PECOS PAC ID: 2567794712 Enrollment ID: I20191022000081 |
| Provider Name | Lynn Zittel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922440742 PECOS PAC ID: 5395177562 Enrollment ID: I20191111000859 |
| Provider Name | Kimberly Yancey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619239746 PECOS PAC ID: 9234561119 Enrollment ID: I20191114001203 |
| Provider Name | Kellie C Ponder |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386997476 PECOS PAC ID: 4880026251 Enrollment ID: I20191125000422 |
| Provider Name | Nyah Diane Ream |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326682253 PECOS PAC ID: 6305279613 Enrollment ID: I20191127000565 |
| Provider Name | Dakila Guerrero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225673627 PECOS PAC ID: 3476986159 Enrollment ID: I20191211000735 |
| Provider Name | Erin Miller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124487533 PECOS PAC ID: 8729413455 Enrollment ID: I20200127001045 |
| Provider Name | Amy S Yepez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376774760 PECOS PAC ID: 3870928559 Enrollment ID: I20200128000411 |
| Provider Name | Laurie N. Dean |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164684098 PECOS PAC ID: 3870929094 Enrollment ID: I20200207000096 |
| Provider Name | Leslie Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376866723 PECOS PAC ID: 5193151074 Enrollment ID: I20200213000415 |
| Provider Name | Caitlin Roginski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205316262 PECOS PAC ID: 3173875382 Enrollment ID: I20200218002460 |
| Provider Name | Sebastian Kazmierczak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811532203 PECOS PAC ID: 8820425598 Enrollment ID: I20200219002419 |
| Provider Name | Marjorie Bergiste |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235522590 PECOS PAC ID: 2769810555 Enrollment ID: I20200309002347 |
| Provider Name | Sebastien Ledeme-goodman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821632746 PECOS PAC ID: 3870921455 Enrollment ID: I20200313000328 |
| Provider Name | Suyeon Jeon Wang |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487289898 PECOS PAC ID: 2264860691 Enrollment ID: I20200319000445 |
| Provider Name | Nidhi Vaishnavi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912219189 PECOS PAC ID: 2668800921 Enrollment ID: I20200319002135 |
| Provider Name | John O Arlington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700163144 PECOS PAC ID: 9436325321 Enrollment ID: I20200402003735 |
| Provider Name | Kelli Erin Emady |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538529326 PECOS PAC ID: 0749619187 Enrollment ID: I20200406001288 |
| Provider Name | Kathleen Freund |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467096453 PECOS PAC ID: 7719310911 Enrollment ID: I20200411000120 |
| Provider Name | Cynthia Elizabeth Feierstein |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215256490 PECOS PAC ID: 3971865312 Enrollment ID: I20200412000028 |
| Provider Name | Stephanie Crawford |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760636674 PECOS PAC ID: 5294165536 Enrollment ID: I20200428001654 |
| Provider Name | Karen Eileen Kozy-landress |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861409930 PECOS PAC ID: 2567893019 Enrollment ID: I20200515002381 |
| Provider Name | Stacey Mcmonagle |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649403163 PECOS PAC ID: 5799106845 Enrollment ID: I20200528001726 |
| Provider Name | Jenny De Marziani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063598530 PECOS PAC ID: 8426195314 Enrollment ID: I20200529002287 |
| Provider Name | Laqwana Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437638756 PECOS PAC ID: 5092136929 Enrollment ID: I20200602001482 |
| Provider Name | Angel E Baricelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295086684 PECOS PAC ID: 1052563798 Enrollment ID: I20200715002241 |
| Provider Name | Janika Caridad Guillaume |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891003455 PECOS PAC ID: 7810311396 Enrollment ID: I20200716001891 |
| Provider Name | Audrey I Matty |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629209846 PECOS PAC ID: 2062839822 Enrollment ID: I20200826000030 |
| Provider Name | Sara Tye |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1518225184 PECOS PAC ID: 8820332067 Enrollment ID: I20200911001795 |
| Provider Name | Anna Elizabeth Exline |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124274741 PECOS PAC ID: 3870912090 Enrollment ID: I20201007001276 |
| Provider Name | Jannie Ballesteros-yefremov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558979344 PECOS PAC ID: 5799105979 Enrollment ID: I20201009001730 |
| Provider Name | Patrick G Maness |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619404787 PECOS PAC ID: 8729408695 Enrollment ID: I20201014001320 |
| Provider Name | Ardee Tryll Castro |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982881272 PECOS PAC ID: 0042631061 Enrollment ID: I20201015002803 |
| Provider Name | Meghan Hernandez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477033595 PECOS PAC ID: 7810317161 Enrollment ID: I20201026002646 |
| Provider Name | Raul Morales |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316471766 PECOS PAC ID: 2860802899 Enrollment ID: I20201103001992 |
| Provider Name | Joy Rosetta Reid |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356961957 PECOS PAC ID: 4981014404 Enrollment ID: I20201111001828 |
| Provider Name | Rejennette Ordiz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437419983 PECOS PAC ID: 9830509264 Enrollment ID: I20201113000250 |
| Provider Name | Denice Jahreis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609478395 PECOS PAC ID: 3779994322 Enrollment ID: I20201203000064 |
| Provider Name | Jamie Marie Martin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285759555 PECOS PAC ID: 6608287149 Enrollment ID: I20201204001117 |
| Provider Name | Tracey Lynn Minkin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083200109 PECOS PAC ID: 3779996103 Enrollment ID: I20210104001382 |
| Provider Name | Denise Morgan-perry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386140416 PECOS PAC ID: 0244644433 Enrollment ID: I20210129001072 |
| Provider Name | Chauncey Michelle Joseph |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396369625 PECOS PAC ID: 6608280680 Enrollment ID: I20210203000735 |
| Provider Name | Tammy Virginia Nieves |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083205488 PECOS PAC ID: 8224442108 Enrollment ID: I20210204001910 |
| Provider Name | Deborah Kauterman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124157524 PECOS PAC ID: 6507813698 Enrollment ID: I20210222001303 |
| Provider Name | Ariel A Aure |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700057973 PECOS PAC ID: 5092121178 Enrollment ID: I20210316000937 |
| Provider Name | Yara Bacca |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346835485 PECOS PAC ID: 0749697720 Enrollment ID: I20210319000568 |
| Provider Name | Cydne Jean Fuller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104402668 PECOS PAC ID: 3375950462 Enrollment ID: I20210408001354 |
| Provider Name | Tanya Malave |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275118150 PECOS PAC ID: 3678981073 Enrollment ID: I20210423002321 |
| Provider Name | Kasey Chapla |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700331097 PECOS PAC ID: 1456760586 Enrollment ID: I20210503000115 |
| Provider Name | Phoebe Leo Bodewig |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366081523 PECOS PAC ID: 2466861422 Enrollment ID: I20210505000045 |
| Provider Name | Marianne F Hamor |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992094593 PECOS PAC ID: 5496164808 Enrollment ID: I20210513002875 |
| Provider Name | Larry D Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104078708 PECOS PAC ID: 0941619241 Enrollment ID: I20210517000644 |
| Provider Name | Anne Marie Amato |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679156343 PECOS PAC ID: 5395144661 Enrollment ID: I20210519001584 |
| Provider Name | Toni Diane Mitchell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821662156 PECOS PAC ID: 8123427853 Enrollment ID: I20210528000568 |
| Provider Name | Amr Darwish |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811017072 PECOS PAC ID: 0042619512 Enrollment ID: I20210603001346 |
| Provider Name | Linda Fukes-fuer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568738789 PECOS PAC ID: 8527468917 Enrollment ID: I20210607000275 |
| Provider Name | Kim Marie Crawford Holland |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407054661 PECOS PAC ID: 9133529746 Enrollment ID: I20210617002154 |
| Provider Name | Emily Herndon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407403785 PECOS PAC ID: 5496155392 Enrollment ID: I20210621001983 |
| Provider Name | Stacy Renee Downs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013272913 PECOS PAC ID: 7113164740 Enrollment ID: I20210622002828 |
| Provider Name | Ashley M Katers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912480179 PECOS PAC ID: 9638509094 Enrollment ID: I20210623001588 |
| Provider Name | Mina Pitello |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609252261 PECOS PAC ID: 2466853163 Enrollment ID: I20210701003120 |
| Provider Name | William B Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861914145 PECOS PAC ID: 9436551322 Enrollment ID: I20210715000230 |
| Provider Name | Denise Diane Rejonis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720361595 PECOS PAC ID: 3072916295 Enrollment ID: I20210727000055 |
| Provider Name | Sara Elizabeth Hill |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619052925 PECOS PAC ID: 3870996929 Enrollment ID: I20210727001476 |
| Provider Name | Julie Ann Noe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225591035 PECOS PAC ID: 0446653513 Enrollment ID: I20210727002166 |
| Provider Name | Ainalez Perez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871844837 PECOS PAC ID: 2860895976 Enrollment ID: I20210727003730 |
| Provider Name | Jorge E Quinzada |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770074627 PECOS PAC ID: 2466855408 Enrollment ID: I20210728001021 |
| Provider Name | Kelsey Shannon Gilmartin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386186542 PECOS PAC ID: 6406250604 Enrollment ID: I20210810003627 |
| Provider Name | Clarivi Noblejas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235802059 PECOS PAC ID: 6204230303 Enrollment ID: I20210811004029 |
| Provider Name | Maryvic Paculanan Franco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407521669 PECOS PAC ID: 2163827783 Enrollment ID: I20210819003668 |
| Provider Name | Mary Mildred Cornito |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396876116 PECOS PAC ID: 9739584368 Enrollment ID: I20210820000040 |
| Provider Name | Tania I Senra |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326292301 PECOS PAC ID: 1355747312 Enrollment ID: I20210831002118 |
| Provider Name | Kimberly Ann Fitzgerald |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750809885 PECOS PAC ID: 6305242272 Enrollment ID: I20210901002896 |
| Provider Name | Jasmine Shahin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861062630 PECOS PAC ID: 8123424991 Enrollment ID: I20210901003442 |
| Provider Name | Darlene Faith Starner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003583311 PECOS PAC ID: 6901202563 Enrollment ID: I20210907001370 |
| Provider Name | Michael Ngo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093329674 PECOS PAC ID: 0749686988 Enrollment ID: I20210913003495 |
| Provider Name | Sarah Harley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619646247 PECOS PAC ID: 2961809017 Enrollment ID: I20210916002001 |
| Provider Name | Kelly Marie Hill |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194237776 PECOS PAC ID: 1850798109 Enrollment ID: I20210929001228 |
| Provider Name | Lafronza J King |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689802506 PECOS PAC ID: 1951708221 Enrollment ID: I20210929001652 |
| Provider Name | Cynthia Ann Schoenleber |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306190996 PECOS PAC ID: 7719375542 Enrollment ID: I20211028001361 |
| Provider Name | Kelly Moran |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801919121 PECOS PAC ID: 5395133987 Enrollment ID: I20211101002762 |
| Provider Name | Karyn Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235541947 PECOS PAC ID: 5294123618 Enrollment ID: I20211103002524 |
| Provider Name | Jessica Hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609133503 PECOS PAC ID: 9931598885 Enrollment ID: I20211115001078 |
| Provider Name | Kimbeerly Diaz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265771836 PECOS PAC ID: 4981093655 Enrollment ID: I20211118001033 |
| Provider Name | Maria Dulce Garduque |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770131872 PECOS PAC ID: 3375933625 Enrollment ID: I20211201001434 |
| Provider Name | Johanna Abadias Gonzalez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144332263 PECOS PAC ID: 5294125308 Enrollment ID: I20211203002228 |
| Provider Name | Fabiola Comeau |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386897726 PECOS PAC ID: 7618367582 Enrollment ID: I20211208001447 |
| Provider Name | Karen Denise Card |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437658515 PECOS PAC ID: 9335539063 Enrollment ID: I20211210002071 |
| Provider Name | Florentina Joy Chua |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013674969 PECOS PAC ID: 9931599537 Enrollment ID: I20211213002486 |
| Provider Name | Kristy L Schabacker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669679650 PECOS PAC ID: 4385035393 Enrollment ID: I20211230001696 |
| Provider Name | Rachel Vinciguerra |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306417100 PECOS PAC ID: 6002208733 Enrollment ID: I20220110000652 |
| Provider Name | Cailyn Darlene Zornes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427605492 PECOS PAC ID: 9739571357 Enrollment ID: I20220111002143 |
| Provider Name | Leymi Lima |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861617250 PECOS PAC ID: 8729470117 Enrollment ID: I20220114001094 |
| Provider Name | Jason Anderson Polo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225799588 PECOS PAC ID: 2961894134 Enrollment ID: I20220120000574 |
| Provider Name | Maria Gimena Fuquene |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073900981 PECOS PAC ID: 8022401082 Enrollment ID: I20220215002061 |
| Provider Name | Chantell D'avignon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285935031 PECOS PAC ID: 0143451203 Enrollment ID: I20220216002551 |
| Provider Name | Medine Mauvais |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154992865 PECOS PAC ID: 2062806722 Enrollment ID: I20220223002592 |
| Provider Name | Christen Leigh Laughorn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588200299 PECOS PAC ID: 9739574120 Enrollment ID: I20220322001421 |
| Provider Name | Meghan Joan Brody |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659768893 PECOS PAC ID: 0749676690 Enrollment ID: I20220401002018 |
| Provider Name | Jessica Kolash |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669053856 PECOS PAC ID: 6608262332 Enrollment ID: I20220406001462 |
| Provider Name | Lorre Owens Cheely |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790095172 PECOS PAC ID: 3274929757 Enrollment ID: I20220409000301 |
| Provider Name | Aleksey Karpovich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255799128 PECOS PAC ID: 3678960655 Enrollment ID: I20220421000213 |
| Provider Name | Kaitlyn L Black |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669980785 PECOS PAC ID: 3577950138 Enrollment ID: I20220428002305 |
| Provider Name | Megan Noel Garrett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154062099 PECOS PAC ID: 8729475314 Enrollment ID: I20220429000458 |
| Provider Name | Judith M Tindall |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497416101 PECOS PAC ID: 5092102319 Enrollment ID: I20220504002686 |
| Provider Name | Devan Boundy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730605692 PECOS PAC ID: 5991182123 Enrollment ID: I20220510000317 |
| Provider Name | Anjanette L. Wilson- Reese |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1356539381 PECOS PAC ID: 2961889910 Enrollment ID: I20220513001164 |
| Provider Name | Melissa Kaye Bobbitt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831837756 PECOS PAC ID: 3779961149 Enrollment ID: I20220526001315 |
| Provider Name | Bethany Kathleen Muldowney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174845820 PECOS PAC ID: 0446638811 Enrollment ID: I20220526001566 |
| Provider Name | Julie Adriene Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437896701 PECOS PAC ID: 8729466974 Enrollment ID: I20220601000412 |
| Provider Name | Kayla Enea |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306575352 PECOS PAC ID: 6507245917 Enrollment ID: I20220615001045 |
| Provider Name | Amia Solivera |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225459670 PECOS PAC ID: 8820478324 Enrollment ID: I20220629003858 |
| Provider Name | Adam Hyman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669909016 PECOS PAC ID: 9931589496 Enrollment ID: I20220630002132 |
| Provider Name | Lynn S Lasky |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528537560 PECOS PAC ID: 5698155661 Enrollment ID: I20220707003988 |
| Provider Name | Kara Hamilton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831318385 PECOS PAC ID: 5799084158 Enrollment ID: I20220708000391 |
| Provider Name | Francesca Antonelli |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487939559 PECOS PAC ID: 7012167414 Enrollment ID: I20220714001773 |
| Provider Name | Tatyana N Kovalevich |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639774110 PECOS PAC ID: 2860873353 Enrollment ID: I20220714002425 |
| Provider Name | Melissa Sitaram |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487163622 PECOS PAC ID: 8527449495 Enrollment ID: I20220723000435 |
| Provider Name | Sharon Elaine Lucas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043945876 PECOS PAC ID: 3577945203 Enrollment ID: I20220727004010 |
| Provider Name | Vanessa Dibujes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487092342 PECOS PAC ID: 2567708506 Enrollment ID: I20220801000831 |
| Provider Name | Myra Velmonte |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104186675 PECOS PAC ID: 5092197111 Enrollment ID: I20220804003916 |
| Provider Name | Vasanthi Kalaisenthil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649771205 PECOS PAC ID: 8123401502 Enrollment ID: I20220817003142 |
| Provider Name | Robin Carmencita Brown |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013280841 PECOS PAC ID: 8820055247 Enrollment ID: I20220819002473 |
| Provider Name | Danielle Elizabeth Young |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295987402 PECOS PAC ID: 6901289198 Enrollment ID: I20220822001219 |
| Provider Name | Shavon Lashay Curry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134855406 PECOS PAC ID: 4587047642 Enrollment ID: I20220823000644 |
| Provider Name | Edralyn Torres Torres |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225151517 PECOS PAC ID: 6406759836 Enrollment ID: I20220830002998 |
| Provider Name | Jhameelah Jones |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801096995 PECOS PAC ID: 6507013240 Enrollment ID: I20220901000720 |
| Provider Name | Lorie Lynne Bass |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932837465 PECOS PAC ID: 0244614360 Enrollment ID: I20220908001234 |
| Provider Name | Lucienne P. De Lugao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609506427 PECOS PAC ID: 6901280056 Enrollment ID: I20220908002564 |
| Provider Name | Sarah Griffin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447369046 PECOS PAC ID: 0648655720 Enrollment ID: I20220912000710 |
| Provider Name | Gayle Blank |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245457787 PECOS PAC ID: 1153706064 Enrollment ID: I20220913003107 |
| Provider Name | Robert Donald Bingenheimer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912124546 PECOS PAC ID: 2961555776 Enrollment ID: I20220913004204 |
| Provider Name | Karen Cihowiak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104546860 PECOS PAC ID: 9133504988 Enrollment ID: I20220915001388 |
| Provider Name | Daniel French |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477081750 PECOS PAC ID: 0244615904 Enrollment ID: I20220915002325 |
| Provider Name | Amor Tecling Bolatete |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447970975 PECOS PAC ID: 3870979719 Enrollment ID: I20220930000288 |
| Provider Name | Sheida Abdi |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063088151 PECOS PAC ID: 1850777665 Enrollment ID: I20221003000459 |
| Provider Name | Amanda Juliano |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790058279 PECOS PAC ID: 0244628154 Enrollment ID: I20221011000220 |
| Provider Name | Andrew Howard Wagner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780198416 PECOS PAC ID: 3577949841 Enrollment ID: I20221011000453 |
| Provider Name | Heavan Tawfik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306561600 PECOS PAC ID: 3274909304 Enrollment ID: I20221014001394 |
| Provider Name | Christine Marie Rodriguez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417315581 PECOS PAC ID: 6608242672 Enrollment ID: I20221016000007 |
| Provider Name | Christina Pierro |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376592568 PECOS PAC ID: 4880060482 Enrollment ID: I20221024001114 |
| Provider Name | Michelle Auer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053038539 PECOS PAC ID: 3678940079 Enrollment ID: I20221027001175 |
| Provider Name | Nastassia Trishanne Verley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871198739 PECOS PAC ID: 4385011741 Enrollment ID: I20221028000148 |
| Provider Name | Michael William Bernard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992471684 PECOS PAC ID: 0143697466 Enrollment ID: I20221030000036 |
| Provider Name | Kartikeya Dave |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194039859 PECOS PAC ID: 5092183996 Enrollment ID: I20221128001328 |
| Provider Name | Toya M Hines |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932474699 PECOS PAC ID: 2163890880 Enrollment ID: I20221130000170 |
| Provider Name | Jennifer Roth |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104247840 PECOS PAC ID: 0840669768 Enrollment ID: I20221214003311 |
| Provider Name | Christopher Robert Harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497218655 PECOS PAC ID: 6800265620 Enrollment ID: I20221216001163 |
| Provider Name | Martha Yannet Lopez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710696273 PECOS PAC ID: 0648649384 Enrollment ID: I20221220000093 |
| Provider Name | Regan Romanoski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932177623 PECOS PAC ID: 3577790096 Enrollment ID: I20230103001304 |
| Provider Name | Caitlyn Sloan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326658147 PECOS PAC ID: 3173993326 Enrollment ID: I20230104000065 |
| Provider Name | Maria Angelica Garrido |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669601365 PECOS PAC ID: 1052781234 Enrollment ID: I20230104001720 |
| Provider Name | Katie A Ferreira |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801554563 PECOS PAC ID: 3779953625 Enrollment ID: I20230110002399 |
| Provider Name | Eileen Scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235841297 PECOS PAC ID: 7810367786 Enrollment ID: I20230111000000 |
| Provider Name | Hailey Galosi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619609922 PECOS PAC ID: 0446621809 Enrollment ID: I20230121000101 |
| Provider Name | Sarah Brown |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316484611 PECOS PAC ID: 5496126872 Enrollment ID: I20230123000885 |
| Provider Name | Jordan Wolmarans |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174237267 PECOS PAC ID: 1951772276 Enrollment ID: I20230125000914 |
| Provider Name | Kyle Romeo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164153243 PECOS PAC ID: 2365814597 Enrollment ID: I20230215002487 |
| Provider Name | Logan Just |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104406214 PECOS PAC ID: 8527431550 Enrollment ID: I20230222001669 |
| Provider Name | Sarah Ann Fulton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649945213 PECOS PAC ID: 2365815214 Enrollment ID: I20230224000553 |
| Provider Name | Heidi Marie Hawes |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386841567 PECOS PAC ID: 5597138131 Enrollment ID: I20230302001144 |
| Provider Name | Nicholas Licudine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942472980 PECOS PAC ID: 3577648013 Enrollment ID: I20230310001174 |
| Provider Name | Jessica Soros |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013368281 PECOS PAC ID: 1052604048 Enrollment ID: I20230314001623 |
| Provider Name | Jimena Calleja |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1114475464 PECOS PAC ID: 4284008251 Enrollment ID: I20230315001569 |
| Provider Name | Gabrielle Romero |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104482900 PECOS PAC ID: 1850728783 Enrollment ID: I20230317000507 |
| Provider Name | Allison R.f. Wood |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265722524 PECOS PAC ID: 4688048028 Enrollment ID: I20230324002733 |
| Provider Name | Donna C Pellow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083804892 PECOS PAC ID: 0749375970 Enrollment ID: I20230328000113 |
| Provider Name | Gabrielle Elchaar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396394532 PECOS PAC ID: 0840664132 Enrollment ID: I20230329000111 |
| Provider Name | Gail Levy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922352822 PECOS PAC ID: 1355706359 Enrollment ID: I20230426002077 |
| Provider Name | Rachel Shishov |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861791527 PECOS PAC ID: 6204078553 Enrollment ID: I20230503000576 |
| Provider Name | Taylor Brooke Hahn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144963786 PECOS PAC ID: 6406212786 Enrollment ID: I20230510003276 |
| Provider Name | William Joseph Shuttleworth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700988110 PECOS PAC ID: 5991702730 Enrollment ID: I20230517001698 |
| Provider Name | Sindhu Narayan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689058190 PECOS PAC ID: 7012373871 Enrollment ID: I20230519002629 |
| Provider Name | Amanda Jean Cook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285883645 PECOS PAC ID: 8325404908 Enrollment ID: I20230524001880 |
| Provider Name | Andrew Strauss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053459610 PECOS PAC ID: 6406938349 Enrollment ID: I20230531002499 |
| Provider Name | Susan Michelle Woodcox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891133856 PECOS PAC ID: 8123484342 Enrollment ID: I20230609000922 |
| Provider Name | Melissa Renee Cosser |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073206280 PECOS PAC ID: 8224495940 Enrollment ID: I20230612000109 |
| Provider Name | Christina Barbera |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740975762 PECOS PAC ID: 5193183788 Enrollment ID: I20230613003721 |
| Provider Name | Stacey Luskin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184218786 PECOS PAC ID: 2264890730 Enrollment ID: I20230615003117 |
| Provider Name | Amanda Roithmeier |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427710565 PECOS PAC ID: 1052779493 Enrollment ID: I20230616002043 |
| Provider Name | Nancy Moncada |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619589827 PECOS PAC ID: 1456759125 Enrollment ID: I20230704000159 |
| Provider Name | Courtney Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699359729 PECOS PAC ID: 4688035009 Enrollment ID: I20230802000812 |
| Provider Name | Emily Meyers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821637455 PECOS PAC ID: 5597126763 Enrollment ID: I20230803003547 |
| Provider Name | Rosa M. Vazquez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295414068 PECOS PAC ID: 1951762152 Enrollment ID: I20230803004547 |
| Provider Name | Reymon Lobos De Real |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811571508 PECOS PAC ID: 0648631739 Enrollment ID: I20230807000186 |
| Provider Name | Chelsy Ann Hendrix |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427831916 PECOS PAC ID: 9335502269 Enrollment ID: I20230825000651 |
| Provider Name | Adam Alexander King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376097022 PECOS PAC ID: 1951696095 Enrollment ID: I20230828001163 |
| Provider Name | Craig Thomas Tobey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124703277 PECOS PAC ID: 9436512845 Enrollment ID: I20230901001572 |
| Provider Name | Nathalie Iglesias |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902680630 PECOS PAC ID: 3476917683 Enrollment ID: I20230906003273 |
| Provider Name | Leslie Novakovic |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598375743 PECOS PAC ID: 9638577067 Enrollment ID: I20230911000097 |
| Provider Name | Angela C Craig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477843829 PECOS PAC ID: 8628432671 Enrollment ID: I20230911001384 |
| Provider Name | Trini Rivera |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932404795 PECOS PAC ID: 0648634584 Enrollment ID: I20230912001188 |
| Provider Name | Alexandra Lashley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841535051 PECOS PAC ID: 6507220225 Enrollment ID: I20230914000652 |
| Provider Name | Enya Fernandez Pudpud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710765227 PECOS PAC ID: 0042664880 Enrollment ID: I20230927001355 |
| Provider Name | Tania R Miranda |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043595747 PECOS PAC ID: 9436503075 Enrollment ID: I20230929002322 |
| Provider Name | Maria Atmosfera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659565802 PECOS PAC ID: 0042665093 Enrollment ID: I20231011000114 |
| Provider Name | Irma Metrio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992589592 PECOS PAC ID: 7214382878 Enrollment ID: I20231017002074 |
| Provider Name | Jamie Marie Pewitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962281550 PECOS PAC ID: 9739534264 Enrollment ID: I20231018001452 |
| Provider Name | Shannon Reilly |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982483020 PECOS PAC ID: 8426404989 Enrollment ID: I20231019003797 |
| Provider Name | Rachel Ellis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205976453 PECOS PAC ID: 6204059066 Enrollment ID: I20231025000115 |
| Provider Name | Beverly Acacio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497305197 PECOS PAC ID: 8426405945 Enrollment ID: I20231106001183 |
| Provider Name | Megan Moret |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275272023 PECOS PAC ID: 2365899754 Enrollment ID: I20231107000512 |
| Provider Name | Mark Raymund Lumogdang Ocampo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962648816 PECOS PAC ID: 2264881192 Enrollment ID: I20231218001004 |
| Provider Name | Bianca Gabardo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598453805 PECOS PAC ID: 2668822008 Enrollment ID: I20231227000859 |
| Provider Name | Darrell Battle |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609922004 PECOS PAC ID: 5496108573 Enrollment ID: I20240124004217 |
| Provider Name | Michael Romeo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356115810 PECOS PAC ID: 5597118398 Enrollment ID: I20240129001785 |
| Provider Name | Ailec Guerra |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851950976 PECOS PAC ID: 0042663684 Enrollment ID: I20240130002583 |
| Provider Name | Kimberly Williams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053071134 PECOS PAC ID: 2062804578 Enrollment ID: I20240201004100 |
| Provider Name | Michelle Marie Rutherford |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174815930 PECOS PAC ID: 0941643043 Enrollment ID: I20240206001508 |
| Provider Name | Lucile Cindy Dort |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386242220 PECOS PAC ID: 0840634390 Enrollment ID: I20240222004294 |
| Provider Name | Arlen De Armas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073873121 PECOS PAC ID: 0749624294 Enrollment ID: I20240222004317 |
| Provider Name | Carmen Wells |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982965547 PECOS PAC ID: 2163867011 Enrollment ID: I20240229004518 |
| Provider Name | Elizabeth Wetzel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518201904 PECOS PAC ID: 2163469107 Enrollment ID: I20240301002340 |
| Provider Name | Kristin Maria Dedrick |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568024404 PECOS PAC ID: 1254777345 Enrollment ID: I20240312000976 |
| Provider Name | Christopher Clements |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558805382 PECOS PAC ID: 8022454990 Enrollment ID: I20240313003892 |
| Provider Name | Shana Ashraf |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770116188 PECOS PAC ID: 7517303241 Enrollment ID: I20240315002005 |
| Provider Name | Nadine Belhomme |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689136533 PECOS PAC ID: 8224475702 Enrollment ID: I20240319003954 |
| Provider Name | Marian Porter Mandell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104146976 PECOS PAC ID: 1557700374 Enrollment ID: I20240412002338 |
| Provider Name | Mallikarjuna Prasad Suryamoni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265703425 PECOS PAC ID: 7618316654 Enrollment ID: I20240423003414 |
| Provider Name | Julie Ann Crampton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033278627 PECOS PAC ID: 8325488349 Enrollment ID: I20240424002530 |
| Provider Name | Claudia Regina Cortez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861045023 PECOS PAC ID: 8729428172 Enrollment ID: I20240501004014 |
| Provider Name | Gretchen Taylor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417147109 PECOS PAC ID: 2062852270 Enrollment ID: I20240503002206 |
| Provider Name | Karen Louise Ramsay |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205528783 PECOS PAC ID: 0547601304 Enrollment ID: I20240510000206 |
| Provider Name | Heather Marie Benton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386491363 PECOS PAC ID: 3678915733 Enrollment ID: I20240521004601 |
| Provider Name | Viviana Slp Fraga |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629490370 PECOS PAC ID: 3870035603 Enrollment ID: I20240609000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthpro Heritage Rehab & Fitness, Llc 536 Old Howell Rd, Greenville, SC 29615-1969 Ph: (864) 244-3626 | Healthpro Heritage Rehab & Fitness, Llc 9731 Commerce Center Ct, Fort Myers, FL 33908-1400 Ph: (239) 334-9885 |
Jeremy Beasley, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13010 Metro Pkwy, Fort Myers, FL 33966 Phone: 239-561-5616 | |
Dr. Jorie Schinella, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4550 Colonial Blvd, Fort Myers, FL 33966 Phone: 239-931-5700 | |
Zulai Gretz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2525 First St, Fort Myers, FL 33901 Phone: 239-425-2255 | |
Jill Ivory Collins, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14421 Metropolis Ave Ste 103, Fort Myers, FL 33912 Phone: 239-561-2778 Fax: 239-561-8107 | |
Mrs. Darlene Faith Starner, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3501 Hancock Bridge Pkwy, Fort Myers, FL 33903 Phone: 239-217-5900 | |
Brandon Edwards, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 15751 San Carlos Blvd Ste 4, Fort Myers, FL 33908 Phone: 239-337-2739 | |
Heidi Lynn Lecius, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8710 College Pkwy, Fort Myers, FL 33919 Phone: 239-482-8788 Fax: 239-482-1566 |