Mr Patrick Shepard Fuller, PT, DPT | |
408 5th Ave, Indialantic, FL 32903-4280 | |
(321) 727-2707 | |
(321) 727-2977 |
Full Name | Mr Patrick Shepard Fuller |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 408 5th Ave, Indialantic, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891981221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-23562 (Florida) | Primary |
Provider Name | Physical Therapy Professionals Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1639276900 PECOS PAC ID: 2567461825 Enrollment ID: O20061214000036 |
Mailing Address | Practice Location Address |
---|---|
Mr Patrick Shepard Fuller, PT, DPT 408 5th Ave, Indialantic, FL 32903-4280 Ph: (321) 727-2707 | Mr Patrick Shepard Fuller, PT, DPT 408 5th Ave, Indialantic, FL 32903-4280 Ph: (321) 727-2707 |
Mrs. Kimberly Ann Beck Gallaher, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 417 5th Ave Apt 101b, Indialantic, FL 32903 Phone: 321-327-7889 Fax: 321-372-3097 | |
Dr. Pamela Renee Gates, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 S Shannon Ave, Indialantic, FL 32903 Phone: 352-514-2167 Fax: 321-234-7910 | |
Mrs. Jean Marie C Fuller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 408 5th Ave, Indialantic, FL 32903 Phone: 321-727-2707 Fax: 321-727-2977 | |
Aspire Physical Therapy And Wellness Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 870 N Miramar Ave # 415, Indialantic, FL 32903 Phone: 321-698-9461 | |
Mrs. Kelly J Miller, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 408 5th Ave, Indialantic, FL 32903 Phone: 321-727-2707 Fax: 321-409-8371 | |
Dr. Alyssa Nicole Quixley, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 417 5th Avenue, Suite 101b, Indialantic, FL 32903 Phone: 321-372-3090 | |
Ginger Diane Snead, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 150 5th Ave Ste C, Indialantic, FL 32903 Phone: 305-304-7842 |