Michael Derry, | |
131 Valley Grove Dr, Ponte Vedra, FL 32081-6165 | |
(309) 267-9873 | |
Not Available |
Full Name | Michael Derry |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 9 Years |
Location | 131 Valley Grove Dr, Ponte Vedra, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285015024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT35704 (Florida) | Primary |
225100000X | Physical Therapist | 070021601 (Illinois) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Revision Health Services Pllc | 4981026523 | 2 |
Provider Name | Revision Health Services Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659994911 PECOS PAC ID: 4981026523 Enrollment ID: O20200626001841 |
Mailing Address | Practice Location Address |
---|---|
Michael Derry, 131 Valley Grove Dr, Ponte Vedra, FL 32081-6165 Ph: (309) 267-9873 | Michael Derry, 131 Valley Grove Dr, Ponte Vedra, FL 32081-6165 Ph: (309) 267-9873 |
Aegis Group Practice, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 999 Crosswater Pkwy, Ponte Vedra, FL 32081 Phone: 800-444-6845 Fax: 844-640-6066 | |
Prevail Therapy Services, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Bermuda Greens Ave, Ponte Vedra, FL 32081 Phone: 904-208-8811 Fax: 904-814-8953 | |
Valerie J Spees, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 203 Fort Wade Rd Unit 130, Ponte Vedra, FL 32081 Phone: 904-686-3111 Fax: 904-686-3140 | |
Karissa Rowland, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Colonnade Dr Ste 100, Ponte Vedra, FL 32081 Phone: 904-395-1755 | |
Mrs. Tori S Miller, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Bermuda Greens Ave, Ponte Vedra, FL 32081 Phone: 904-208-8758 | |
Elyse Mackenzie Warren, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 232 Ponte Vedra Park Dr, Ponte Vedra, FL 32082 Phone: 904-634-0640 Fax: 904-634-0203 | |
Zachary Engel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 465 Town Plaza Ave # B, Ponte Vedra, FL 32081 Phone: 904-222-3780 |