Nicole C Himmelman, | |
765 W Grant St, Plant City, FL 33563-6810 | |
(813) 743-3701 | |
Not Available |
Full Name | Nicole C Himmelman |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 765 W Grant St, Plant City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184865677 | NPI | - | NPPES |
175564721 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT2908 (Arkansas) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Creative Health Care Management Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790302164 PECOS PAC ID: 4385929892 Enrollment ID: O20200727001211 |
Mailing Address | Practice Location Address |
---|---|
Nicole C Himmelman, 16412 Bridgewalk Dr, Lithia, FL 33547-4822 Ph: (501) 772-7110 | Nicole C Himmelman, 765 W Grant St, Plant City, FL 33563-6810 Ph: (813) 743-3701 |
Benjamin Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 621 E Alexander St, Plant City, FL 33563 Phone: 813-707-1509 | |
Kellie Cunningham Sipos, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5938 Hovan Ave, Plant City, FL 33565 Phone: 813-970-2512 | |
Nicole Downey Edwards, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2051 Walden Woods Dr, Plant City, FL 33563 Phone: 813-540-9683 | |
Mr. Anthony Carl Marcket, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 511 W Alexander St, Plant City, FL 33563 Phone: 813-754-2309 Fax: 813-754-2630 | |
Krupa Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3063 Sutton Woods Dr, Plant City, FL 33566 Phone: 813-708-3243 | |
Ms. Monina R Vecina, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1507 S Alexander St, Suite 102, Plant City, FL 33563 Phone: 813-759-0106 Fax: 813-759-0161 |