| Rafael Mastov, DPT | |
|
5970 S Jog Rd Ste A-1, Lake Worth, FL 33467-6590 | |
| (561) 300-1999 | |
| (561) 300-1990 |
| Full Name | Rafael Mastov |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 5970 S Jog Rd Ste A-1, Lake Worth, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225177611 | NPI | - | NPPES |
| PT35334 | Other | FL | FLORIDA PT LICENSE |
| 029091 | Other | NY | LICENSE |
| 02924418 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 029091 (New York) | Secondary |
| 225100000X | Physical Therapist | PT35434 (Florida) | Primary |
| Provider Name | On Site Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033318266 PECOS PAC ID: 7810916897 Enrollment ID: O20121031000145 |
| Provider Name | Advance Care Physical Therapy Pc Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033720354 PECOS PAC ID: 2264859131 Enrollment ID: O20200825000419 |
| Mailing Address | Practice Location Address |
|---|---|
| Rafael Mastov, DPT 6360 98th St Apt A3, Rego Park, NY 11374-2223 Ph: () - | Rafael Mastov, DPT 5970 S Jog Rd Ste A-1, Lake Worth, FL 33467-6590 Ph: (561) 300-1999 |
Dr. Brittany Wallace, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7103 Lake Worth Rd, Lake Worth, FL 33467 Phone: 561-702-2025 | |
Michael Leopold, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7111 Lake Worth Rd, Lake Worth, FL 33467 Phone: 561-966-7950 | |
Ms. Patricia Ann Vennett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 John F Kennedy Dr, Suite 132, Lake Worth, FL 33462 Phone: 561-969-6125 Fax: 561-964-5301 | |
Mr. Neil P Palad, PT, DPT, GCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7744 Great Oak Dr, Lake Worth, FL 33467 Phone: 561-357-0231 Fax: 561-357-0231 | |
Johannes M Vlaar, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1520 10th Ave N Ste B, Lake Worth, FL 33460 Phone: 561-740-4555 Fax: 866-248-3592 | |
Effective Physical Therapy Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4887 Lehto Ln, Lake Worth, FL 33461 Phone: 561-439-8182 Fax: 561-968-6692 | |
Physical Therapy Institute And Aquatic Rehab, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7115 Lake Worth Rd, Lake Worth, FL 33467 Phone: 561-318-7432 Fax: 561-429-8983 |