Marissa Ricci, | |
519 Nw Lake Whitney Pl Ste 101, Port St Lucie, FL 34986-1621 | |
(772) 621-9313 | |
Not Available |
Full Name | Marissa Ricci |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 519 Nw Lake Whitney Pl Ste 101, Port St Lucie, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801578356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT40520 (Florida) | Primary |
Provider Name | Premier Physical Therapy Sport Medicine Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649380064 PECOS PAC ID: 3173413549 Enrollment ID: O20040318000876 |
Mailing Address | Practice Location Address |
---|---|
Marissa Ricci, 890 Sw Del Rio Blvd, Port St Lucie, FL 34953-1979 Ph: () - | Marissa Ricci, 519 Nw Lake Whitney Pl Ste 101, Port St Lucie, FL 34986-1621 Ph: (772) 621-9313 |
Elaine M Anderson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2485 Se Sidonia St, Port St Lucie, FL 34952 Phone: 772-337-2226 | |
Mrs. Lisette Longo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9077 S Federal Hwy, Port St Lucie, FL 34952 Phone: 772-335-4770 Fax: 772-335-4133 | |
Paul Phillip Burgener, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 156 Nw California Blvd, Port St Lucie, FL 34986 Phone: 772-871-7170 | |
Ms. Jody Rochelle Martin, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1867 Sw Jamesport Dr, Port St Lucie, FL 34953 Phone: 917-892-5187 | |
Tatiana C Madonia, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2042 Sw Providence Pl, Port St Lucie, FL 34953 Phone: 305-778-0516 | |
Alexander's Healing Hands, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 479 Nw Prima Vista Blvd, Suite A, Port St Lucie, FL 34983 Phone: 772-408-4848 Fax: 772-408-0978 | |
American Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7993 Steeplechase Ct, Port St Lucie, FL 34986 Phone: 863-801-1925 Fax: 801-881-8827 |