| Irish Matienzo, | |
|
969 Glazebrook Loop, Orange City, FL 32763-6610 | |
| (419) 944-3670 | |
| Not Available |
| Full Name | Irish Matienzo |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 969 Glazebrook Loop, Orange City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508622556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 31353 (Florida) | Primary |
| Provider Name | Empowerme Rehabilitation Florida, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1184257602 PECOS PAC ID: 3274962790 Enrollment ID: O20200406000039 |
| Provider Name | Onr National Speech Pathology Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972965952 PECOS PAC ID: 2668463522 Enrollment ID: O20210528001837 |
| Mailing Address | Practice Location Address |
|---|---|
| Irish Matienzo, 969 Glazebrook Loop, Orange City, FL 32763-6610 Ph: (419) 944-3670 | Irish Matienzo, 969 Glazebrook Loop, Orange City, FL 32763-6610 Ph: (419) 944-3670 |
Ryann Cahill, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 Commed Blvd, Orange City, FL 32763 Phone: 386-775-7488 | |
Susan E. Wakelin, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1550 Cypress Ave, Orange City, FL 32763 Phone: 386-775-6838 | |
Angela Link, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 Commed Blvd, Orange City, FL 32763 Phone: 386-775-7488 | |
Mr. Michael Wheeler, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 Commed Blvd, Suite A, Orange City, FL 32763 Phone: 386-774-4404 Fax: 386-774-4496 | |
Lisa Marie Lepine, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1495 S Volusia Ave Ste 101, Orange City, FL 32763 Phone: 386-401-6100 Fax: 386-960-0551 | |
Mary Kristine Baliwag, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Veterans Memorial Pkwy, Orange City, FL 32763 Phone: 386-775-2008 | |
Dr. Paul Kudlick, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2864 Wellness Ave Ste 100, Orange City, FL 32763 Phone: 386-575-4027 Fax: 386-575-4028 |