Nicholas Trevino, | |
1106 Crane Cove Blvd, Gulf Breeze, FL 32563-3190 | |
(850) 207-5874 | |
Not Available |
Full Name | Nicholas Trevino |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1106 Crane Cove Blvd, Gulf Breeze, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497441034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT28295 (Florida) | Primary |
Provider Name | Pivotal Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861188344 PECOS PAC ID: 3870959307 Enrollment ID: O20230525001083 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Trevino, 1106 Crane Cove Blvd, Gulf Breeze, FL 32563-3190 Ph: (850) 207-5874 | Nicholas Trevino, 1106 Crane Cove Blvd, Gulf Breeze, FL 32563-3190 Ph: (850) 207-5874 |
Mrs. Jessica Mason Hosford, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1515 Lighthouse Ct, Gulf Breeze, FL 32563 Phone: 407-493-3815 | |
Mrs. Holly Mcduff, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1590 Woodbluff Ct, Gulf Breeze, FL 32563 Phone: 850-476-0628 Fax: 850-475-1313 | |
Aegis Group Practice Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 Joachim Drive, Gulf Breeze, FL 32561 Phone: 800-444-6545 | |
Mrs. Diane C. Dejean, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1153 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 Phone: 850-932-9223 Fax: 850-934-0654 | |
Dr. Benjamin James Lockhart, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4410 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 Phone: 850-749-5215 | |
Miss Serena Dunham, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1040 Gulf Breeze Pkwy, Firstrehab, Gulf Breeze, FL 32561 Phone: 850-942-2180 Fax: 850-934-4181 | |
Stephanie Manuela Green, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 Phone: 850-934-2280 |