| Jonathan Wallace, DPT | |
|
8040 Peters Rd Ste H107, Plantation, FL 33324-4029 | |
| (954) 835-5619 | |
| Not Available |
| Full Name | Jonathan Wallace |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 8040 Peters Rd Ste H107, Plantation, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619696648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | The Orthopaedic Institute, Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740373547 PECOS PAC ID: 2860385242 Enrollment ID: O20040209000128 |
| Provider Name | Donner Physical Therapy And Sports Rehab Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1598086852 PECOS PAC ID: 2961695614 Enrollment ID: O20101026000842 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Wallace, DPT 3828 Nw 107th Way, Sunrise, FL 33351-8108 Ph: (954) 612-6315 | Jonathan Wallace, DPT 8040 Peters Rd Ste H107, Plantation, FL 33324-4029 Ph: (954) 835-5619 |
Anna Carrie Li, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8500 W Sunrise Blvd, Plantation, FL 33322 Phone: 954-476-8500 | |
Alyssa Raineri, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6500 W Sunrise Blvd Ste 6530, Plantation, FL 33313 Phone: 954-616-1670 | |
Genecco Rehab, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 861 N Nob Hill Rd, Plantation, FL 33324 Phone: 954-577-5705 Fax: 954-577-0168 | |
Personal Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 839 Nw 98th Ave, Plantation, FL 33324 Phone: 954-599-8359 Fax: 954-370-8291 | |
Mr. Jeffrey Ross Davis, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10189 W Sunrise Blvd, Plantation, FL 33322 Phone: 954-577-9370 Fax: 954-577-9350 | |
Real Physical Therapy Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Nw 100th Ave, Plantation, FL 33324 Phone: 954-472-7975 Fax: 954-472-7941 | |
Linda Okeefe, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 S Pine Island Rd, Suite 200, Plantation, FL 33324 Phone: 954-474-2525 |