| Optimal Performance & Physical Therapies Tyrone, Llc | |
|
1700 66th St N Ste 102, St Petersburg, FL 33710-5510 | |
| (727) 475-5540 | |
| Not Available |
| Full Name | Optimal Performance & Physical Therapies Tyrone, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1700 66th St N Ste 102, 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 |
|---|---|---|---|
| 1356807531 | 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 | Renea Marie Porsch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659886794 PECOS PAC ID: 2466713649 Enrollment ID: I20180305000287 |
| Provider Name | Matthew Zerah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700379575 PECOS PAC ID: 7416281712 Enrollment ID: I20190620000030 |
| Provider Name | Keri J Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952956153 PECOS PAC ID: 7911235882 Enrollment ID: I20190830000552 |
| 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 | Sarah Woodford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942717707 PECOS PAC ID: 7719310689 Enrollment ID: I20220330000666 |
| Provider Name | Nicholas Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093443392 PECOS PAC ID: 6608238050 Enrollment ID: I20230816002810 |
| Provider Name | Haylie Hawkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750860805 PECOS PAC ID: 0840549879 Enrollment ID: I20231020002514 |
| Provider Name | Madison Castelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245913672 PECOS PAC ID: 5496107666 Enrollment ID: I20240123004954 |
| Provider Name | Matthew Shapiro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578341350 PECOS PAC ID: 8527507847 Enrollment ID: I20240829002895 |
| Provider Name | Keaton Yaw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063253623 PECOS PAC ID: 3870025455 Enrollment ID: I20241021003111 |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Performance & Physical Therapies Tyrone, Llc 3903 Northdale Blvd Ste 111w, Tampa, FL 33624-1853 Ph: (727) 475-5540 | Optimal Performance & Physical Therapies Tyrone, Llc 1700 66th St N Ste 102, St Petersburg, FL 33710-5510 Ph: (727) 475-5540 |
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 |