| Performance Physical Therapy Inc | |
|
150 Southpark Blvd, Suite 201, St Augustine, FL 32086-5190 | |
| (904) 824-7787 | |
| (904) 429-0318 |
| Full Name | Performance Physical Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 150 Southpark Blvd, St Augustine, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871694919 | NPI | - | NPPES |
| QV9 | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT21013 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Physical Therapy Inc 150 Southpark Blvd, Suite 201, St Augustine, FL 32086-5190 Ph: (904) 824-7787 | Performance Physical Therapy Inc 150 Southpark Blvd, Suite 201, St Augustine, FL 32086-5190 Ph: (904) 824-7787 |
Angela Marie Cicchino, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 University Blvd, St Augustine, FL 32086 Phone: 904-829-3411 Fax: 904-829-3412 | |
Mr. Stephen A Vighetti, PT, MTC, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4020 Grande Vista Blvd, #114, St Augustine, FL 32084 Phone: 904-315-3416 | |
Dr. David Anthony Eldridge, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Orthopaedic Pl, St Augustine, FL 32086 Phone: 904-825-0540 Fax: 904-825-2490 | |
Erica J Kiernan, PT/OT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Mariner Health Way, Ste 213, St Augustine, FL 32086 Phone: 904-217-4259 Fax: 904-217-4251 | |
Jerry Worley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Wildwood Dr, # 144, St Augustine, FL 32086 Phone: 904-687-9880 | |
Joseph R Edwards, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 968 Espinado Avenue, St Augustine, FL 32086 Phone: 954-805-0655 | |
Kaleb Griffel, DPT PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 University Blvd, St Augustine, FL 32086 Phone: 904-829-3411 Fax: 904-829-3412 |