| Potentia Therapeutics, Llc | |
|
2307 S Dale Mabry Hwy Ste F, Tampa, FL 33629-6322 | |
| (813) 374-9508 | |
| (813) 443-5599 |
| Full Name | Potentia Therapeutics, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2307 S Dale Mabry Hwy Ste F, 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 |
|---|---|---|---|
| 1063910982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Maria E Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952351058 PECOS PAC ID: 7517990328 Enrollment ID: I20050913000606 |
| Provider Name | Jennifer W Prugh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083909006 PECOS PAC ID: 9830367226 Enrollment ID: I20110801000205 |
| Provider Name | Sherrice B Rose |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407929359 PECOS PAC ID: 6305871526 Enrollment ID: I20120524000243 |
| Provider Name | Christina Guarnieri Noonan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659626372 PECOS PAC ID: 6002062445 Enrollment ID: I20120817000208 |
| Provider Name | Cynthia Marshall |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437185113 PECOS PAC ID: 1759383284 Enrollment ID: I20130111000446 |
| Provider Name | Yuliya Guseva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851813562 PECOS PAC ID: 1951669191 Enrollment ID: I20200508000445 |
| Provider Name | Meredith M Defranco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235368028 PECOS PAC ID: 1153748421 Enrollment ID: I20200901001847 |
| Provider Name | Marie H Custodero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871714998 PECOS PAC ID: 1951635481 Enrollment ID: I20201015003296 |
| Provider Name | Kathryn G Long |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194244277 PECOS PAC ID: 9739446303 Enrollment ID: I20210209000794 |
| Provider Name | Anne Happiette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184229940 PECOS PAC ID: 9931514106 Enrollment ID: I20210222000054 |
| Provider Name | Michelle Lee Hubbard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164060174 PECOS PAC ID: 1254730310 Enrollment ID: I20210524000905 |
| Provider Name | Kimberly Reid |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164762803 PECOS PAC ID: 4981003787 Enrollment ID: I20210527002271 |
| 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 | Ashlyn Lasso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669015806 PECOS PAC ID: 4183006372 Enrollment ID: I20220804001881 |
| Provider Name | Deanna Domnisch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396174017 PECOS PAC ID: 7315175189 Enrollment ID: I20221005003776 |
| Provider Name | Mary Kathryn Costello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922729219 PECOS PAC ID: 5092185223 Enrollment ID: I20230105000887 |
| Provider Name | Amy Harcourt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275770448 PECOS PAC ID: 3577735885 Enrollment ID: I20231212002957 |
| Mailing Address | Practice Location Address |
|---|---|
| Potentia Therapeutics, Llc 2307 S Dale Mabry Hwy Ste F, Tampa, FL 33629-6322 Ph: () - | Potentia Therapeutics, Llc 2307 S Dale Mabry Hwy Ste F, Tampa, FL 33629-6322 Ph: (813) 374-9508 |
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 |