Mr Brian John Mahalaris, PT | |
11701 San Jose Blvd Ste 210, Jacksonville, FL 32223-0756 | |
(904) 858-7450 | |
(904) 858-7451 |
Full Name | Mr Brian John Mahalaris |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 11701 San Jose Blvd Ste 210, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063555969 | NPI | - | NPPES |
889766200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 20758 (Florida) | Primary |
Provider Name | Genesis Rehabilitation Hospital, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912947748 PECOS PAC ID: 4284664954 Enrollment ID: O20071026000121 |
Provider Name | Genesis Health Development Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033154992 PECOS PAC ID: 4183538614 Enrollment ID: O20140429000503 |
Mailing Address | Practice Location Address |
---|---|
Mr Brian John Mahalaris, PT 11701 San Jose Blvd Ste 210, Jacksonville, FL 32223-0756 Ph: (904) 858-7450 | Mr Brian John Mahalaris, PT 11701 San Jose Blvd Ste 210, Jacksonville, FL 32223-0756 Ph: (904) 858-7450 |
Michelle Senia Antonio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Prudential Dr, Jacksonville, FL 32207 Phone: 904-202-2000 | |
Southeast Orthopedic Specialists, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2627 Riverside Ave, 3rd Floor, Jacksonville, FL 32204 Phone: 904-634-0640 Fax: 904-634-0203 | |
Jessica Dailey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223 Phone: 904-886-3228 | |
Alison Mantel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3901 University Blvd S, Jacksonville, FL 32216 Phone: 904-345-7310 | |
Savannah Faulk, PT, DPT, LSVT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207 Phone: 904-477-9287 | |
Dr. Bethany Marie Meyers, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Neuro Pt, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8777 Hampshire Glen Dr S, Jacksonville, FL 32256 Phone: 313-570-4383 |