| Legacy Physical Therapy & Sports Training | |
|
1880 59th St W, Bradenton, FL 34209-4630 | |
| (941) 792-0511 | |
| (941) 792-0560 |
| Full Name | Legacy Physical Therapy & Sports Training |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1880 59th St W, Bradenton, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861446437 | NPI | - | NPPES |
| 888322000 | Medicaid | FL | |
| DB5339 | Other | FL | RAIL ROAD |
| Y910Z | Other | FL | BCBS FACILITY NUMBER |
| 2989794 | Other | FL | AETNA GROUP PROVIDER NUM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Physical Therapy & Sports Training Po Box 1156, Ellenton, FL 34222-1156 Ph: (941) 729-0003 | Legacy Physical Therapy & Sports Training 1880 59th St W, Bradenton, FL 34209-4630 Ph: (941) 792-0511 |
Dr. Michael I. Fazio, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7844 Ashley Cir, Bradenton, FL 34201 Phone: 941-993-8494 | |
Little Steps Pediatric Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9020 Willowbrook Cir, Bradenton, FL 34212 Phone: 315-794-1742 | |
Rodney G Mendoza, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9085 Town Center Pkwy, Bradenton, FL 34202 Phone: 609-553-5150 | |
Kelly Elisabeth Swenson Hall, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3915 8th Ave W, Bradenton, FL 34205 Phone: 941-747-7741 Fax: 941-747-1431 | |
Mark Charles Pellman Jr., Physical Therapist Medicare: Medicare Enrolled Practice Location: 3657 Cortez Rd W Ste 110, Bradenton, FL 34210 Phone: 941-739-7828 Fax: 941-739-7838 | |
Victor Anton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11809 Hollyhock Dr, Bradenton, FL 34202 Phone: 941-727-5588 Fax: 941-727-5588 | |
Ms. Kimberly G Kraft, PT CHT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8000 Sr 64 E, Bradenton, FL 34212 Phone: 941-792-1404 Fax: 941-761-0712 |