| Proformpt | |
|
405 Lake Howell Road, Suite 1031, Maitland, FL 32751-5906 | |
| (407) 671-0433 | |
| (407) 671-2433 |
| Full Name | Proformpt |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 405 Lake Howell Road, Maitland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700810900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Eric J Dullmeyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891713806 PECOS PAC ID: 2365355849 Enrollment ID: I20050406000649 |
| Provider Name | Edward J Dullmeyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518991710 PECOS PAC ID: 3476500919 Enrollment ID: I20130718000335 |
| Provider Name | Jeffrey D Scherwin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164725594 PECOS PAC ID: 9335445865 Enrollment ID: I20160309002732 |
| Provider Name | Ashley N Harrison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316345283 PECOS PAC ID: 5092011460 Enrollment ID: I20160310001282 |
| Provider Name | Ricardo A Carriles-albertorio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255717294 PECOS PAC ID: 1456398809 Enrollment ID: I20160310001391 |
| Provider Name | David Roger Ogilvie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487214540 PECOS PAC ID: 3870822380 Enrollment ID: I20190909003674 |
| Provider Name | Michael Seyed Sahebi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174185086 PECOS PAC ID: 7113256165 Enrollment ID: I20190917001174 |
| Provider Name | Kasey Picciano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487287249 PECOS PAC ID: 1850729807 Enrollment ID: I20200325001529 |
| Provider Name | Jordan Ingalsbe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386310175 PECOS PAC ID: 9830589696 Enrollment ID: I20211209001646 |
| Provider Name | Ethan A Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295393932 PECOS PAC ID: 9335516343 Enrollment ID: I20221104000195 |
| Provider Name | Jean-paul Parenteau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922657329 PECOS PAC ID: 7517334048 Enrollment ID: I20221112000092 |
| Mailing Address | Practice Location Address |
|---|---|
| Proformpt 405 Lake Howell Road, Suite 1031, Maitland, FL 32751-5906 Ph: (407) 671-0433 | Proformpt 405 Lake Howell Road, Suite 1031, Maitland, FL 32751-5906 Ph: (407) 671-0433 |
Ms. Bernadette Rollins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Maitland Blvd, Maitland, FL 32751 Phone: 407-645-3990 | |
Dr. Brianna Renee Korycki, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2301 Lucien Way Ste 325, Maitland, FL 32751 Phone: 800-774-7785 | |
Mrs. Joylin Christina Zimmerman, PT, CMPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 549 Wymore Rd, Suite 108, Maitland, FL 32751 Phone: 407-628-9436 Fax: 407-628-9437 | |
Sarah Jones Vega, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2301 Maitland Center Pkwy Ste 240, Maitland, FL 32751 Phone: 407-573-5797 | |
Jane L Martorana, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 630 N Maitland Ave, Maitland, FL 32751 Phone: 407-539-2488 Fax: 407-539-2408 | |
Ms. Patrice S Antony, PT, GCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1219 Sidcup Rd, Maitland, FL 32751 Phone: 407-951-5266 Fax: 407-898-9098 | |
Dr. Ronald Charles Miller Jr., DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 N Maitland Ave, Maitland, FL 32751 Phone: 407-494-8835 |