Ketziel Estrada, DPT in Plant City, FL - Medicare Physical Therapist Provider

Ketziel Estrada, DPT is a medicare enrolled "Physical Therapist" provider in Plant City, Florida. His current practice location is 2202 W Oak Ave, Plant City, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 754-3761.

Ketziel Estrada is licensed to practice in Florida (license number PT33977) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619535259.

Contact Information

	Ketziel Estrada, DPT
	2202 W Oak Ave, Plant City, FL 33563-7222
	(813) 754-3761
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ketziel Estrada
Gender	Male
Speciality	Physical Therapist
Location	2202 W Oak Ave, Plant City, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619535259
Provider Enumeration Date: 05/30/2019
Last Update Date: 05/30/2019

Medicare PECOS Information:

PECOS PAC ID: 2264818970
Enrollment ID: I20221004002101

Medical Identifiers

Medical identifiers for Ketziel Estrada such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619535259	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT33977 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ketziel Estrada allows following entities to bill medicare on his behalf.

Provider Name	Sobe Innovative Rehabilitation Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1164800595 PECOS PAC ID: 4789994336 Enrollment ID: O20151110002827

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. Ketziel Estrada 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
Ketziel Estrada, DPT 1226 E Cumberland Ave Unit 120, Tampa, FL 33602-4212 Ph: (787) 608-3490	Ketziel Estrada, DPT 2202 W Oak Ave, Plant City, FL 33563-7222 Ph: (813) 754-3761

Reviews and Comments

Physical Therapist in Plant City, FL

Benjamin Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 621 E Alexander St, Plant City, FL 33563 Phone: 813-707-1509
Nicole C Himmelman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 765 W Grant St, Plant City, FL 33563 Phone: 813-743-3701
Nicole Downey Edwards, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2051 Walden Woods Dr, Plant City, FL 33563 Phone: 813-540-9683
Mr. Anthony Carl Marcket, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 511 W Alexander St, Plant City, FL 33563 Phone: 813-754-2309 Fax: 813-754-2630
Krupa Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3063 Sutton Woods Dr, Plant City, FL 33566 Phone: 813-708-3243
Keith Roman Kolakowski, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 W Reynolds St Ste 211, Plant City, FL 33563 Phone: 813-754-0668 Fax: 813-757-0194
Ms. Monina R Vecina, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1507 S Alexander St, Suite 102, Plant City, FL 33563 Phone: 813-759-0106 Fax: 813-759-0161

Ketziel Estrada, DPT - Medicare Physical Therapist in Plant City, FL