| Saint Augustine Rehabilitation Specialists Llc | |
|
105 Mariner Health Way, Ste 213, St Augustine, FL 32086-3251 | |
| (904) 217-4259 | |
| (904) 217-4251 |
| Full Name | Saint Augustine Rehabilitation Specialists Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 105 Mariner Health Way, St Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548407521 | NPI | - | NPPES |
| 001451900 | Medicaid | FL | |
| Y902D | Other | FL | BCBS |
| DP7316 | Other | FL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT22437 (Florida) | Primary |
| 225X00000X | Occupational Therapist | PT22437 (Florida) | Secondary |
| Provider Name | Linda D Smiciklas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831258896 PECOS PAC ID: 6608958293 Enrollment ID: I20080205000352 |
| Provider Name | David C Lomaglio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013056183 PECOS PAC ID: 2769401298 Enrollment ID: I20080614000085 |
| Provider Name | Melanie Lomaglio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750524922 PECOS PAC ID: 0143366633 Enrollment ID: I20091014000485 |
| Provider Name | Laura A Alexander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376965681 PECOS PAC ID: 2860625365 Enrollment ID: I20150416001355 |
| Provider Name | Lisa M Comella |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538542683 PECOS PAC ID: 4486963816 Enrollment ID: I20151026000418 |
| Provider Name | Anna Mcintyre |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952850588 PECOS PAC ID: 7618255415 Enrollment ID: I20161029000432 |
| Provider Name | Emily D Benn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396119301 PECOS PAC ID: 2961783717 Enrollment ID: I20170110001401 |
| Provider Name | Brianna Bean |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427529908 PECOS PAC ID: 2567707144 Enrollment ID: I20181231001732 |
| Provider Name | Austin Garner Bruhl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346757515 PECOS PAC ID: 7719224096 Enrollment ID: I20190124000776 |
| Provider Name | George Paul Hebbler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154750396 PECOS PAC ID: 4688902232 Enrollment ID: I20190821001584 |
| Provider Name | Debra Sue Mullin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891343430 PECOS PAC ID: 6406186113 Enrollment ID: I20190924000232 |
| Provider Name | Adrian Bland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588903389 PECOS PAC ID: 2769712983 Enrollment ID: I20191001000925 |
| Provider Name | Lauren Brodsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750926994 PECOS PAC ID: 6305279860 Enrollment ID: I20191213002242 |
| Provider Name | Ryan Donald Beaton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700419801 PECOS PAC ID: 3072941285 Enrollment ID: I20200323001881 |
| Provider Name | Sabrina C Gebert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487249314 PECOS PAC ID: 9931515368 Enrollment ID: I20210310001551 |
| Provider Name | Rhiannon C Gluhosky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699212019 PECOS PAC ID: 1254615651 Enrollment ID: I20210311001506 |
| Provider Name | Rachel Campagna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912510116 PECOS PAC ID: 4183042971 Enrollment ID: I20210821000268 |
| Provider Name | Taylor Meredith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093398950 PECOS PAC ID: 1355747817 Enrollment ID: I20210908002510 |
| Provider Name | Gilbert H Tam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538813712 PECOS PAC ID: 0749673861 Enrollment ID: I20220211001443 |
| Provider Name | Haley Grace Parker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215681259 PECOS PAC ID: 8325432065 Enrollment ID: I20220223001821 |
| Provider Name | Shanna Pollack |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801490735 PECOS PAC ID: 9638580673 Enrollment ID: I20220906000071 |
| Provider Name | Eric Stanton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376130989 PECOS PAC ID: 2567847155 Enrollment ID: I20220919000457 |
| Provider Name | Courtney A Wagner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104546399 PECOS PAC ID: 2264818574 Enrollment ID: I20221010001462 |
| Provider Name | Sarah C Pinasco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184059719 PECOS PAC ID: 1850529082 Enrollment ID: I20221022000044 |
| Provider Name | Nathan D Souheaver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578276390 PECOS PAC ID: 5294105334 Enrollment ID: I20230105001699 |
| Provider Name | Nicole R Cloudy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043818867 PECOS PAC ID: 8224448030 Enrollment ID: I20230220000713 |
| Provider Name | Matthew Stearns |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629554266 PECOS PAC ID: 8325398399 Enrollment ID: I20230320001922 |
| Provider Name | Alexandra Krohnfeldt Duval |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538855523 PECOS PAC ID: 2062877327 Enrollment ID: I20230420003019 |
| Provider Name | Courtney T Sickel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316631245 PECOS PAC ID: 0648638817 Enrollment ID: I20230620002399 |
| Provider Name | Sara Rogers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447951934 PECOS PAC ID: 6608231832 Enrollment ID: I20231204001510 |
| Provider Name | Margaret Marutov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063194017 PECOS PAC ID: 3971943598 Enrollment ID: I20240430003034 |
| Provider Name | Mckinley Odom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629844089 PECOS PAC ID: 5799135158 Enrollment ID: I20240613000422 |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Augustine Rehabilitation Specialists Llc 105 Mariner Health Way Ste 213, Saint Augustine, FL 32086-3251 Ph: (904) 217-4259 | Saint Augustine Rehabilitation Specialists Llc 105 Mariner Health Way, Ste 213, St Augustine, FL 32086-3251 Ph: (904) 217-4259 |
Angela Marie Cicchino, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 University Blvd, St Augustine, FL 32086 Phone: 904-829-3411 Fax: 904-829-3412 | |
Mr. Stephen A Vighetti, PT, MTC, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4020 Grande Vista Blvd, #114, St Augustine, FL 32084 Phone: 904-315-3416 | |
Dr. David Anthony Eldridge, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Orthopaedic Pl, St Augustine, FL 32086 Phone: 904-825-0540 Fax: 904-825-2490 | |
Erica J Kiernan, PT/OT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Mariner Health Way, Ste 213, St Augustine, FL 32086 Phone: 904-217-4259 Fax: 904-217-4251 | |
Jerry Worley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Wildwood Dr, # 144, St Augustine, FL 32086 Phone: 904-687-9880 | |
Joseph R Edwards, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 968 Espinado Avenue, St Augustine, FL 32086 Phone: 954-805-0655 | |
Kaleb Griffel, DPT PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 University Blvd, St Augustine, FL 32086 Phone: 904-829-3411 Fax: 904-829-3412 |