| Optimal Performance And Physical Therapies St. Petersburg, Llc | |
|
2600 Dr Martin Luther King Jr St N Ste 200b, St Petersburg, FL 33704-2744 | |
| (727) 474-5580 | |
| Not Available |
| Full Name | Optimal Performance And Physical Therapies St. Petersburg, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2600 Dr Martin Luther King Jr St N Ste 200b, St Petersburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073085734 | NPI | - | NPPES |
| PT19911 | Other | FL | PT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Jeremy Maddox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861597577 PECOS PAC ID: 2264611664 Enrollment ID: I20110131000594 |
| Provider Name | Elissa Deusner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922461870 PECOS PAC ID: 8224310313 Enrollment ID: I20170125001785 |
| Provider Name | Rachel Iaquaniello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629597539 PECOS PAC ID: 7517224470 Enrollment ID: I20171130001906 |
| Provider Name | Daniel Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295211878 PECOS PAC ID: 0547504904 Enrollment ID: I20181212000824 |
| Provider Name | Taylor Collins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720634595 PECOS PAC ID: 0941530273 Enrollment ID: I20190930000074 |
| Provider Name | Emily Elizabeth Srnka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154790178 PECOS PAC ID: 8123451119 Enrollment ID: I20191205000792 |
| Provider Name | Katherine Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770197063 PECOS PAC ID: 6800214081 Enrollment ID: I20200921001834 |
| Provider Name | John Tyler Briggs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316558232 PECOS PAC ID: 5597172072 Enrollment ID: I20210330000315 |
| Provider Name | Brent Champagne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952878498 PECOS PAC ID: 1052653052 Enrollment ID: I20210519001376 |
| Provider Name | Andrea Briana Swope |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841909538 PECOS PAC ID: 2860861135 Enrollment ID: I20221208000139 |
| Provider Name | Patrick Parker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821698101 PECOS PAC ID: 2668882465 Enrollment ID: I20230124002699 |
| Provider Name | Lucas Houska |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699449280 PECOS PAC ID: 9436531571 Enrollment ID: I20230608000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Performance And Physical Therapies St. Petersburg, Llc 21756 State Road 54 Ste 102, Lutz, FL 33549-2905 Ph: (727) 475-5580 | Optimal Performance And Physical Therapies St. Petersburg, Llc 2600 Dr Martin Luther King Jr St N Ste 200b, St Petersburg, FL 33704-2744 Ph: (727) 474-5580 |
Purpose Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 6619 1st Ave S, St Petersburg, FL 33707 Phone: 417-315-5777 | |
Mrs. Cynthia Ann Driver Saldanha, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 6th St S, St Petersburg, FL 33701 Phone: 727-767-8093 Fax: 727-767-4004 | |
Alliance Sports Rehab Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 2nd Ave Ne Ste 1401, St Petersburg, FL 33701 Phone: 727-258-7224 | |
Danielle Marie Wanek, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 1st Ave N Unit 4201, St Petersburg, FL 33701 Phone: 608-772-7727 | |
Bao-quyen Nguyen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 260 1st Ave S Ste 200-161, St Petersburg, FL 33701 Phone: 727-803-1102 | |
Kimberley D Carson, P.T., D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-6913 Fax: 727-767-6757 | |
Aegis Group Practice Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 34th St S, St Petersburg, FL 33711 Phone: 800-444-6845 Fax: 479-478-2852 |