| Prime Physical Therapy Inc | |
|
4895 W Waters Ave, Suite E, Tampa, FL 33634-1316 | |
| (813) 932-3315 | |
| Not Available |
| Full Name | Prime Physical Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4895 W Waters Ave, 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 |
|---|---|---|---|
| 1427259779 | NPI | - | NPPES |
| 222535 | Medicaid | FL | |
| 2906996 | Other | FL | CIGNA |
| 350376000 | Other | FL | DEPT OF LABOR |
| Y0571 | Other | FL | NON-PAR BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Kevin P Doris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013944560 PECOS PAC ID: 6507028396 Enrollment ID: I20120424000411 |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Physical Therapy Inc Po Box 272689, Tampa, FL 33688-2689 Ph: (813) 932-3315 | Prime Physical Therapy Inc 4895 W Waters Ave, Suite E, Tampa, FL 33634-1316 Ph: (813) 932-3315 |
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 |