Hetali Binoy Shah, | |
13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | |
(813) 978-9700 | |
Not Available |
Full Name | Hetali Binoy Shah |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 13020 N Telecom Pkwy, Temple Terrace, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972064483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT34229 (Florida) | Primary |
Provider Name | Dynamic Mobile Rehab Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1356086961 PECOS PAC ID: 0749660801 Enrollment ID: O20220707000128 |
Mailing Address | Practice Location Address |
---|---|
Hetali Binoy Shah, 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 Ph: (813) 978-9700 | Hetali Binoy Shah, 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 Ph: (813) 978-9700 |
Meghan Lynn Hyde, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 9225 N 56th St, Temple Terrace, FL 33617 Phone: 877-609-0123 Fax: 888-425-0398 | |
Javier Alvarado, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-588-6187 | |
Brian Richard Laskowski, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-558-6185 | |
Lindsay Ann Landry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 | |
Ryan M Wadas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-558-6187 | |
Andrea Wojcichowsky, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 | |
Timothy P Gill, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-972-5055 |