Mr David Smith, PT, CMDT | |
5000 N Wickham Rd Ste 107, Melbourne, FL 32940-7321 | |
(321) 701-4020 | |
(321) 701-4009 |
Full Name | Mr David Smith |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 22 Years |
Location | 5000 N Wickham Rd Ste 107, Melbourne, 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 |
---|---|---|---|
1669415162 | NPI | - | NPPES |
020385000 | Medicaid | FL | |
K9101 | Other | FL | HARBOR CITY PHYSICAL THERAPY GROUP NUMBER |
PT-20472 | Other | FL | STATE OF FL. PT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT20472 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Harbor City Physical Therapy, Pa | 9335167790 | 6 |
Provider Name | Harbor City Physical Therapy, Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033243936 PECOS PAC ID: 9335167790 Enrollment ID: O20060105000765 |
Mailing Address | Practice Location Address |
---|---|
Mr David Smith, PT, CMDT 5000 N Wickham Rd Ste 107, Melbourne, FL 32940-7321 Ph: (321) 701-4020 | Mr David Smith, PT, CMDT 5000 N Wickham Rd Ste 107, Melbourne, FL 32940-7321 Ph: (321) 701-4020 |
Richard Thomas King V, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 494 N Harbor City Blvd, Melbourne, FL 32935 Phone: 321-610-7978 Fax: 321-610-7979 | |
Abigail Dunn Regan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3536 Peninsula Cir, Melbourne, FL 32940 Phone: 321-342-1175 | |
Analisa Sablay, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3040 N Wickham Rd, Suite 7, Melbourne, FL 32935 Phone: 321-255-9546 Fax: 321-255-4690 | |
Mathew Simon Kronman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1698 W Hibiscus Blvd, Suite A, Melbourne, FL 32901 Phone: 321-768-6119 Fax: 321-768-1710 | |
Daryl Clayton Jacobs Ii, DPT, MTC, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8045 Spyglass Hill Rd, Suite 103, Melbourne, FL 32940 Phone: 321-757-5515 | |
Roberta Neves, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4450 W Eau Gallie Blvd, Melbourne, FL 32934 Phone: 321-255-6627 | |
Stacie Jean Razzino, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1300 Bedford Dr, Suite 105, Melbourne, FL 32940 Phone: 321-242-7575 |