Jenna Renee Ellis, DPT | |
2970 University Pkwy Ste 105, Sarasota, FL 34243-2401 | |
(941) 360-1988 | |
(941) 360-1998 |
Full Name | Jenna Renee Ellis |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2970 University Pkwy Ste 105, Sarasota, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437470044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT25565 (Florida) | Primary |
Provider Name | Maxider Corporation |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1669501615 PECOS PAC ID: 4385619154 Enrollment ID: O20040826000871 |
Provider Name | Sds Medical, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1407323561 PECOS PAC ID: 0547501736 Enrollment ID: O20190417000781 |
Mailing Address | Practice Location Address |
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Jenna Renee Ellis, DPT 6397 Kylie Creek Way, Sarasota, FL 34240-8589 Ph: (941) 915-3507 | Jenna Renee Ellis, DPT 2970 University Pkwy Ste 105, Sarasota, FL 34243-2401 Ph: (941) 360-1988 |
The Weston Group Of Florida Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5311 Proctor Rd, Sarasota, FL 34233 Phone: 941-538-0950 | |
Active Life Therapy Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 Sawyer Rd, Sarasota, FL 34233 Phone: 941-586-7110 Fax: 941-921-4820 | |
Kevin Steele, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2055 Wood St Ste 110, Sarasota, FL 34237 Phone: 941-330-1677 Fax: 941-330-1688 | |
Joyce Hegeman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1959 N Honore Ave, Sarasota, FL 34235 Phone: 941-462-3980 Fax: 941-371-6827 | |
Michael Ehlers, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2750 Bahia Vista St, Sarasota, FL 34239 Phone: 941-951-2663 | |
Kyle Backofen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6150 N Lockwood Ridge Rd, Sarasota, FL 34243 Phone: 941-960-4741 | |
Melissa Guet, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 University Pkwy Ste 103, Sarasota, FL 34243 Phone: 941-444-5970 |