| Optimal Performance And Physical Therapies Northdale Llc | |
|
3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1864 | |
| (813) 418-7350 | |
| Not Available |
| Full Name | Optimal Performance And Physical Therapies Northdale Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3903 Northdale Blvd, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740511195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Beth A Patterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215051776 PECOS PAC ID: 8628103496 Enrollment ID: I20100318000337 |
| Provider Name | Kelly J Tangen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083710461 PECOS PAC ID: 9931236908 Enrollment ID: I20100422000815 |
| Provider Name | Willem Stegeman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407995533 PECOS PAC ID: 5991972671 Enrollment ID: I20120120000294 |
| Provider Name | Jason M Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306274717 PECOS PAC ID: 5698998953 Enrollment ID: I20140514001466 |
| Provider Name | Kevin Hardy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063779031 PECOS PAC ID: 5991932857 Enrollment ID: I20160817000746 |
| Provider Name | Sheldon Fulse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275058414 PECOS PAC ID: 5597031740 Enrollment ID: I20171016003413 |
| Provider Name | Leanne Updike |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710599444 PECOS PAC ID: 1456778059 Enrollment ID: I20200827002049 |
| Provider Name | Monique Pydych |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982296588 PECOS PAC ID: 0749695005 Enrollment ID: I20210218001262 |
| Provider Name | Nicole Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083282974 PECOS PAC ID: 4385048495 Enrollment ID: I20210811004553 |
| Provider Name | Abigail Stevanus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508528936 PECOS PAC ID: 0749678126 Enrollment ID: I20211104001449 |
| Provider Name | Alexandra Pontaoe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821702382 PECOS PAC ID: 8527431857 Enrollment ID: I20230307000759 |
| Provider Name | William Johnson Fuller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750062824 PECOS PAC ID: 4385093210 Enrollment ID: I20231218000897 |
| Provider Name | Habibul Haq Biswas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942898721 PECOS PAC ID: 2466804968 Enrollment ID: I20240120000058 |
| Provider Name | Paige Hurlburt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447014162 PECOS PAC ID: 9931543709 Enrollment ID: I20240220002843 |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Performance And Physical Therapies Northdale Llc 14004 Roosevelt Blvd Ste 613, Clearwater, FL 33762-3819 Ph: () - | Optimal Performance And Physical Therapies Northdale Llc 3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1864 Ph: (813) 418-7350 |
Mary Cathleen Brooke, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12425 Race Track Rd, Ste. 100, Tampa, FL 33626 Phone: 866-568-9068 Fax: 866-360-5916 | |
Mrs. Jennifer Michelle Terry, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11812 N 56th St, Tampa, FL 33617 Phone: 813-857-7800 Fax: 813-988-5837 | |
Eleanor Innocent, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3100 E Fletcher Ave, Tampa, FL 33613 Phone: 813-615-7200 | |
Sara Brett, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N West Shore Blvd, Suite 600, Tampa, FL 33609 Phone: 407-833-8815 | |
Kristen Webbers, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609 Phone: 866-839-6979 | |
Sophia Prassas, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609 Phone: 866-839-6979 | |
Jamie Birmingham, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609 Phone: 866-839-6979 |