| Premier Physical Therapy And Rehabilitation Of Jacksonville, Inc. | |
|
4320 Pablo Professional Ct # 155, Jacksonville, FL 32224-3219 | |
| (904) 996-6922 | |
| (904) 996-6923 |
| Full Name | Premier Physical Therapy And Rehabilitation Of Jacksonville, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4320 Pablo Professional Ct # 155, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467594358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT13725 (Florida) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (Florida) | Secondary |
| Provider Name | Christopher K Kopp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437321767 PECOS PAC ID: 2961562772 Enrollment ID: I20081125000033 |
| Provider Name | Casey Vaughn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508003567 PECOS PAC ID: 7719044510 Enrollment ID: I20090323000429 |
| Provider Name | Jessica Pearce Grochowsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972809143 PECOS PAC ID: 7810167145 Enrollment ID: I20110824000561 |
| Provider Name | Dennis J Conlon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336284199 PECOS PAC ID: 3971742347 Enrollment ID: I20130614000263 |
| Provider Name | Mark Edward Kosier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609903491 PECOS PAC ID: 7012141989 Enrollment ID: I20131008001076 |
| Provider Name | Megan Loso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679753503 PECOS PAC ID: 1052458940 Enrollment ID: I20160202000326 |
| Provider Name | Kurtis B Pcolka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083090534 PECOS PAC ID: 7012299944 Enrollment ID: I20170128000386 |
| Provider Name | Beverly L Bass |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699979005 PECOS PAC ID: 7416208236 Enrollment ID: I20180918002586 |
| Provider Name | Caleb Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588238182 PECOS PAC ID: 4082016621 Enrollment ID: I20210706001485 |
| Provider Name | Brittany Baker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083381073 PECOS PAC ID: 4789080565 Enrollment ID: I20210901003975 |
| Provider Name | Lisa Spink |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366191504 PECOS PAC ID: 0749676765 Enrollment ID: I20220330003171 |
| Provider Name | Haeli Mccabe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043958754 PECOS PAC ID: 6709261639 Enrollment ID: I20220914000002 |
| Provider Name | David Raine Osborne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902916240 PECOS PAC ID: 0143683953 Enrollment ID: I20230828000836 |
| Provider Name | April Castle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871580852 PECOS PAC ID: 5496112369 Enrollment ID: I20230919000292 |
| Provider Name | Justin Stuart Gee Ming Ma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063298461 PECOS PAC ID: 4486001427 Enrollment ID: I20231113001440 |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Physical Therapy And Rehabilitation Of Jacksonville, Inc. 13947 Beach Blvd #109, Jacksonville, FL 32224-1201 Ph: (904) 996-6922 | Premier Physical Therapy And Rehabilitation Of Jacksonville, Inc. 4320 Pablo Professional Ct # 155, Jacksonville, FL 32224-3219 Ph: (904) 996-6922 |
Michelle Senia Antonio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Prudential Dr, Jacksonville, FL 32207 Phone: 904-202-2000 | |
Southeast Orthopedic Specialists, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2627 Riverside Ave, 3rd Floor, Jacksonville, FL 32204 Phone: 904-634-0640 Fax: 904-634-0203 | |
Jessica Dailey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223 Phone: 904-886-3228 | |
Alison Mantel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3901 University Blvd S, Jacksonville, FL 32216 Phone: 904-345-7310 | |
Savannah Faulk, PT, DPT, LSVT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207 Phone: 904-477-9287 | |
Dr. Bethany Marie Meyers, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Neuro Pt, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8777 Hampshire Glen Dr S, Jacksonville, FL 32256 Phone: 313-570-4383 |