| Sobe Innovative Rehabilitation Pllc | |
|
21005 Ne 19th Ct, Miami, FL 33179-1511 | |
| (585) 354-3847 | |
| (305) 397-1219 |
| Full Name | Sobe Innovative Rehabilitation Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 21005 Ne 19th Ct, Miami, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164800595 | NPI | - | NPPES |
| Provider Name | Wanda L Lunden |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619084902 PECOS PAC ID: 9931012499 Enrollment ID: I20031111000065 |
| Provider Name | Brian Joseph Balgo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972541456 PECOS PAC ID: 9234110768 Enrollment ID: I20040528000947 |
| Provider Name | Steve Lewis Lomax |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124085113 PECOS PAC ID: 4789660226 Enrollment ID: I20040626000214 |
| Provider Name | Al Groholski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386676708 PECOS PAC ID: 5890767669 Enrollment ID: I20040816000313 |
| Provider Name | Kelly Hannah |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649967456 PECOS PAC ID: 8729053939 Enrollment ID: I20040831001300 |
| Provider Name | Matthew Estevez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851856942 PECOS PAC ID: 7214903996 Enrollment ID: I20040903000331 |
| Provider Name | Raphaele J Lataillade |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831495092 PECOS PAC ID: 7416924386 Enrollment ID: I20040911000154 |
| Provider Name | Stacey L Eisdorfer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437122777 PECOS PAC ID: 9335117936 Enrollment ID: I20040921001330 |
| Provider Name | Prida Maylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366747941 PECOS PAC ID: 1456396209 Enrollment ID: I20050622001276 |
| Provider Name | Aylee Afaf Hallak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801995428 PECOS PAC ID: 0547292930 Enrollment ID: I20050908000408 |
| Provider Name | Ellen Bloome |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972612513 PECOS PAC ID: 7618902263 Enrollment ID: I20051004000289 |
| Provider Name | Antrelise Gantt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508059189 PECOS PAC ID: 0941227029 Enrollment ID: I20051027001063 |
| Provider Name | Kristin Murillo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831494418 PECOS PAC ID: 4082636360 Enrollment ID: I20060125000411 |
| Provider Name | Sandra Davila |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902835291 PECOS PAC ID: 4587667761 Enrollment ID: I20060808000167 |
| Provider Name | Emilia Andriescu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104999507 PECOS PAC ID: 4486655255 Enrollment ID: I20070122000281 |
| Provider Name | Cherie A Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669563268 PECOS PAC ID: 4385748227 Enrollment ID: I20070402000525 |
| Provider Name | Anthonine Calixte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477652881 PECOS PAC ID: 0143326124 Enrollment ID: I20070508000565 |
| Provider Name | Ana Padridin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033321070 PECOS PAC ID: 8325137276 Enrollment ID: I20071130000220 |
| Provider Name | Ginger Devine |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215155999 PECOS PAC ID: 6103996269 Enrollment ID: I20080531000081 |
| Provider Name | Lisa E Gross Farber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871622530 PECOS PAC ID: 3173549342 Enrollment ID: I20080617000758 |
| Provider Name | Danique A Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518181346 PECOS PAC ID: 8325062086 Enrollment ID: I20090928000716 |
| Provider Name | Maria C Mauricio |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811121882 PECOS PAC ID: 1052446952 Enrollment ID: I20100317000677 |
| Provider Name | Shanna E Olenik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891014379 PECOS PAC ID: 8729103775 Enrollment ID: I20100914000591 |
| Provider Name | Michael F Iannelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619285251 PECOS PAC ID: 8426245689 Enrollment ID: I20101214000637 |
| Provider Name | Deana L Mauro |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891015715 PECOS PAC ID: 4385833284 Enrollment ID: I20110107000339 |
| Provider Name | Cortnee R Hogans |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891005260 PECOS PAC ID: 2062668494 Enrollment ID: I20120817000124 |
| Provider Name | Paul A Laine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285829283 PECOS PAC ID: 8426201484 Enrollment ID: I20121227000269 |
| Provider Name | Amy Buck |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396895470 PECOS PAC ID: 7315186046 Enrollment ID: I20130610000539 |
| Provider Name | Laura J Fraley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760511141 PECOS PAC ID: 6507099025 Enrollment ID: I20140507000478 |
| Provider Name | Jude A Wagnac |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679876817 PECOS PAC ID: 2264652205 Enrollment ID: I20140925001585 |
| Provider Name | Frank C Bennett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609189968 PECOS PAC ID: 8426374893 Enrollment ID: I20150302000794 |
| Provider Name | Kenneth J. Smeds |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639362106 PECOS PAC ID: 6800113390 Enrollment ID: I20150323000243 |
| Provider Name | Kelly Amanada Prete |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386034478 PECOS PAC ID: 0648598052 Enrollment ID: I20150415001736 |
| Provider Name | Carina Mosley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1801034160 PECOS PAC ID: 5698088078 Enrollment ID: I20150714001060 |
| Provider Name | Nkume Sobe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467792515 PECOS PAC ID: 5698085249 Enrollment ID: I20151110002983 |
| Provider Name | Lydia Picard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245616424 PECOS PAC ID: 3577873066 Enrollment ID: I20151112003025 |
| Provider Name | Camille A Peters |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841668415 PECOS PAC ID: 2961702493 Enrollment ID: I20151204001407 |
| Provider Name | Kahari T Wood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952333502 PECOS PAC ID: 5294030268 Enrollment ID: I20160229002993 |
| Provider Name | Marilyn Sokolovsky |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548605496 PECOS PAC ID: 1456586767 Enrollment ID: I20160330002239 |
| Provider Name | Jessica Hernandez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972964336 PECOS PAC ID: 4183914328 Enrollment ID: I20160601000406 |
| Provider Name | Edwin L Ballada |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891828927 PECOS PAC ID: 8628369345 Enrollment ID: I20160627001874 |
| Provider Name | Jennifer H Soriano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831555127 PECOS PAC ID: 0042517088 Enrollment ID: I20160719000620 |
| Provider Name | Carol Giacobbe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780984229 PECOS PAC ID: 2365723723 Enrollment ID: I20170220001935 |
| Provider Name | Melissa Grassia Chisholm |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225573074 PECOS PAC ID: 3476837477 Enrollment ID: I20170310000247 |
| Provider Name | Mark S Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255785507 PECOS PAC ID: 8921385469 Enrollment ID: I20170510000927 |
| Provider Name | Elaina Mccann- Brinson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154797363 PECOS PAC ID: 8325317613 Enrollment ID: I20170629001529 |
| Provider Name | Alton D Howard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598934614 PECOS PAC ID: 6406904754 Enrollment ID: I20170822003772 |
| Provider Name | Asher D.t. Ollivierre |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568632198 PECOS PAC ID: 5294007407 Enrollment ID: I20170823002596 |
| Provider Name | Rebecca Cone |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174032494 PECOS PAC ID: 1951667377 Enrollment ID: I20171117000331 |
| Provider Name | Jeffrey Allen Davison |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629500962 PECOS PAC ID: 1658638242 Enrollment ID: I20171207000785 |
| Provider Name | Alon E Weir |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437356300 PECOS PAC ID: 9335233915 Enrollment ID: I20171218000507 |
| Provider Name | Laura Maria Pazos-cejas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902291206 PECOS PAC ID: 4880952415 Enrollment ID: I20180315001450 |
| Provider Name | Justine L Fradillada |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013450808 PECOS PAC ID: 6901161355 Enrollment ID: I20180605003476 |
| Provider Name | Kelly L Blake Frances |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972817773 PECOS PAC ID: 8224386404 Enrollment ID: I20180803001411 |
| Provider Name | Marta Gumber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336682087 PECOS PAC ID: 7315299724 Enrollment ID: I20181012002368 |
| Provider Name | Lynnie Palad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922437631 PECOS PAC ID: 2769734003 Enrollment ID: I20181015001344 |
| Provider Name | Danielle Barbary |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801385885 PECOS PAC ID: 0749533172 Enrollment ID: I20181031002683 |
| Provider Name | Adam Abraham |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588053771 PECOS PAC ID: 1153674460 Enrollment ID: I20181101002825 |
| Provider Name | Evelyn O Hall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689143604 PECOS PAC ID: 8729325162 Enrollment ID: I20190123003710 |
| Provider Name | Eric M Koscs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154893402 PECOS PAC ID: 7911246566 Enrollment ID: I20190227000444 |
| Provider Name | Seena Kuruvilla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952857468 PECOS PAC ID: 1850631755 Enrollment ID: I20190312002356 |
| Provider Name | Alexis Dolgoff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568932663 PECOS PAC ID: 0941540710 Enrollment ID: I20190314002101 |
| Provider Name | Christopher Ruiz Guerrero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124599428 PECOS PAC ID: 8628310778 Enrollment ID: I20190422001274 |
| Provider Name | Frantz Gerdes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528570173 PECOS PAC ID: 5597007559 Enrollment ID: I20190424000300 |
| Provider Name | Carole Riley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346534005 PECOS PAC ID: 2769725464 Enrollment ID: I20190521001881 |
| Provider Name | Sarah Elizabeth Cernat |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275198764 PECOS PAC ID: 4486997814 Enrollment ID: I20190528001205 |
| Provider Name | Ilene Kane |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477113801 PECOS PAC ID: 7618202078 Enrollment ID: I20190709000358 |
| Provider Name | Randall D Barr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164452751 PECOS PAC ID: 2961435946 Enrollment ID: I20190717000374 |
| Provider Name | Jose Luis Matta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699205823 PECOS PAC ID: 0941532030 Enrollment ID: I20191022002397 |
| Provider Name | Cheryl Schiff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932668951 PECOS PAC ID: 0547692493 Enrollment ID: I20191114000258 |
| Provider Name | Andrew Dequawn Griffith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467881482 PECOS PAC ID: 6901174952 Enrollment ID: I20191118002676 |
| Provider Name | Brittney Marie Weaver |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437792074 PECOS PAC ID: 1355774423 Enrollment ID: I20191203001611 |
| Provider Name | Arif Salla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568928026 PECOS PAC ID: 5597190058 Enrollment ID: I20200110002503 |
| Provider Name | Petros Fragiskakis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700435575 PECOS PAC ID: 1153757299 Enrollment ID: I20200207001344 |
| Provider Name | Audreen Witherspoon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750911624 PECOS PAC ID: 4981030756 Enrollment ID: I20200214001875 |
| Provider Name | Tamara Jefferson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720620537 PECOS PAC ID: 6002243771 Enrollment ID: I20200219002451 |
| Provider Name | Marjorie Bergiste |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235522590 PECOS PAC ID: 2769810555 Enrollment ID: I20200309002347 |
| Provider Name | Laroche Philocles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952940413 PECOS PAC ID: 4385072834 Enrollment ID: I20200316000793 |
| Provider Name | Nathan Becker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669023941 PECOS PAC ID: 7618305152 Enrollment ID: I20200317001357 |
| Provider Name | Nidhi Vaishnavi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912219189 PECOS PAC ID: 2668800921 Enrollment ID: I20200319002135 |
| Provider Name | Randi L Scherer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831341841 PECOS PAC ID: 2062841539 Enrollment ID: I20200403001774 |
| Provider Name | Maria Cervantes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295032712 PECOS PAC ID: 6507296589 Enrollment ID: I20200414002970 |
| Provider Name | Jenny De Marziani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063598530 PECOS PAC ID: 8426195314 Enrollment ID: I20200529002287 |
| Provider Name | Rachel Bouzy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326446303 PECOS PAC ID: 2466873302 Enrollment ID: I20200602001835 |
| Provider Name | Ana Paula Rocha |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245866532 PECOS PAC ID: 8820419203 Enrollment ID: I20200611001036 |
| Provider Name | Gabriela Ortega |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841816758 PECOS PAC ID: 0042634263 Enrollment ID: I20200721003418 |
| Provider Name | Jessica Henry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952937492 PECOS PAC ID: 0244654275 Enrollment ID: I20200722003366 |
| Provider Name | Alexandra T Welti |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861868796 PECOS PAC ID: 0547684417 Enrollment ID: I20200724000563 |
| Provider Name | Sarah Cooke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356952667 PECOS PAC ID: 1759707805 Enrollment ID: I20200819002934 |
| Provider Name | Sheena Parmar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700403771 PECOS PAC ID: 8426476862 Enrollment ID: I20200916001468 |
| Provider Name | Samuel Quintana |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134484637 PECOS PAC ID: 6709162282 Enrollment ID: I20200918000053 |
| Provider Name | Rachel Mejia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679186704 PECOS PAC ID: 4688092703 Enrollment ID: I20200922000447 |
| Provider Name | Michelle Lenore Lesnick |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184236242 PECOS PAC ID: 8628497435 Enrollment ID: I20200929000317 |
| Provider Name | Kellie Ann Houchen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124284278 PECOS PAC ID: 1658790480 Enrollment ID: I20200929001046 |
| Provider Name | Julee H Hafner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003088949 PECOS PAC ID: 1759700412 Enrollment ID: I20200929002799 |
| Provider Name | Jannie Ballesteros-yefremov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558979344 PECOS PAC ID: 5799105979 Enrollment ID: I20201009001730 |
| Provider Name | Brylle Joseph Labra |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659985745 PECOS PAC ID: 5294155073 Enrollment ID: I20201015003173 |
| Provider Name | Samantha Bynum |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104227750 PECOS PAC ID: 0840600979 Enrollment ID: I20201102000056 |
| Provider Name | Jason L Joyner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427030105 PECOS PAC ID: 3375953086 Enrollment ID: I20201109002850 |
| Provider Name | Christopher Quaas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851934426 PECOS PAC ID: 3173933694 Enrollment ID: I20201111001791 |
| Provider Name | Holly Parker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487837860 PECOS PAC ID: 8921189853 Enrollment ID: I20201208000137 |
| Provider Name | Flavia V Hendrickson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598366643 PECOS PAC ID: 9335551142 Enrollment ID: I20201221001545 |
| Provider Name | Marlene Bedzow |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487257085 PECOS PAC ID: 2961814603 Enrollment ID: I20201222000542 |
| Provider Name | Yosmel Hernandez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386072478 PECOS PAC ID: 9739591355 Enrollment ID: I20201223000789 |
| Provider Name | Julie Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891399713 PECOS PAC ID: 3476965062 Enrollment ID: I20201228000424 |
| Provider Name | Sara Ilana Brownstein |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1497219679 PECOS PAC ID: 0547673162 Enrollment ID: I20201228001915 |
| Provider Name | Garrett Sweringen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104413350 PECOS PAC ID: 0244643757 Enrollment ID: I20201230000629 |
| Provider Name | Jerry Chen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104363365 PECOS PAC ID: 1951685163 Enrollment ID: I20201231000170 |
| Provider Name | Mary B Chois |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104308832 PECOS PAC ID: 0143633453 Enrollment ID: I20210106000269 |
| Provider Name | Stevenson Alexis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548857477 PECOS PAC ID: 4789098435 Enrollment ID: I20210121000469 |
| Provider Name | Taylor L D'antico |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235696204 PECOS PAC ID: 0345654018 Enrollment ID: I20210121001276 |
| Provider Name | Sherie Simone Francis-harrison |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831430792 PECOS PAC ID: 6305250853 Enrollment ID: I20210127000665 |
| Provider Name | Hesham Hany Abdel-salam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598109316 PECOS PAC ID: 2860630878 Enrollment ID: I20210319000686 |
| Provider Name | Gina Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962013276 PECOS PAC ID: 3274940309 Enrollment ID: I20210407001795 |
| Provider Name | Meagin Knight Stephenson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003363573 PECOS PAC ID: 5395153175 Enrollment ID: I20210415001215 |
| Provider Name | Yihad Sabagh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598351769 PECOS PAC ID: 9234548470 Enrollment ID: I20210429001660 |
| Provider Name | Dallas Brianna Kowalski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366025215 PECOS PAC ID: 8729487798 Enrollment ID: I20210524001766 |
| Provider Name | Claudia Diaz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992309207 PECOS PAC ID: 9032518725 Enrollment ID: I20210601000070 |
| Provider Name | Dayana Karen Esteves Da Silva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356915920 PECOS PAC ID: 0941600910 Enrollment ID: I20210611002683 |
| Provider Name | Pamela Jean Broadwell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841317740 PECOS PAC ID: 5294135208 Enrollment ID: I20210614001084 |
| Provider Name | Kim Marie Crawford Holland |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407054661 PECOS PAC ID: 9133529746 Enrollment ID: I20210617002154 |
| Provider Name | Nayra Liseth Gomez-pena |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407195886 PECOS PAC ID: 0648670273 Enrollment ID: I20210617002692 |
| Provider Name | Simone Kushnirsky |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033792650 PECOS PAC ID: 2365842846 Enrollment ID: I20210621003184 |
| Provider Name | Stacy Renee Downs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013272913 PECOS PAC ID: 7113164740 Enrollment ID: I20210622002828 |
| Provider Name | Kara Iannuzzi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154997070 PECOS PAC ID: 1052712650 Enrollment ID: I20210701003310 |
| Provider Name | Tracy B Solano |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578618872 PECOS PAC ID: 0547662983 Enrollment ID: I20210708000829 |
| Provider Name | Joy Yao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891867446 PECOS PAC ID: 2365844719 Enrollment ID: I20210708001176 |
| Provider Name | Jacob Hurley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497337521 PECOS PAC ID: 7214330695 Enrollment ID: I20210722001608 |
| Provider Name | Todd Jeremy Olson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932536844 PECOS PAC ID: 2769619212 Enrollment ID: I20210811001912 |
| 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 | Joanna Dawn Noel-fidler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841524261 PECOS PAC ID: 7517363864 Enrollment ID: I20210910002992 |
| Provider Name | Joshua Tucker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477921120 PECOS PAC ID: 6103223227 Enrollment ID: I20210916000353 |
| Provider Name | Glorimar Lugo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770250706 PECOS PAC ID: 8325445943 Enrollment ID: I20210924001096 |
| Provider Name | Shawn Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487054615 PECOS PAC ID: 9436404803 Enrollment ID: I20210929000035 |
| Provider Name | Lafronza J King |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689802506 PECOS PAC ID: 1951708221 Enrollment ID: I20210929001652 |
| Provider Name | Gerymarie Caban |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700409786 PECOS PAC ID: 3678971694 Enrollment ID: I20211006000197 |
| Provider Name | Melanie Mariani |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356015648 PECOS PAC ID: 2466850342 Enrollment ID: I20211006002926 |
| Provider Name | Ian Barret Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568134112 PECOS PAC ID: 1759789282 Enrollment ID: I20211013001660 |
| Provider Name | Heidi Rogers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235585597 PECOS PAC ID: 1254729536 Enrollment ID: I20211020000335 |
| Provider Name | Sade Martin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205504073 PECOS PAC ID: 2466840285 Enrollment ID: I20211028000805 |
| Provider Name | Jessica M Diaz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780808758 PECOS PAC ID: 5799173266 Enrollment ID: I20211103000039 |
| Provider Name | Gasper M Waffubwa |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831656388 PECOS PAC ID: 5698724854 Enrollment ID: I20211108001742 |
| Provider Name | Bhavana Janakkumar Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528583051 PECOS PAC ID: 1052700267 Enrollment ID: I20211109003045 |
| Provider Name | Laura M Sprague |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053605907 PECOS PAC ID: 7719158534 Enrollment ID: I20211117002227 |
| Provider Name | Kevin Bortnick |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194494732 PECOS PAC ID: 6709276520 Enrollment ID: I20211209000165 |
| Provider Name | Natalie Aracelis Rosado |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326532730 PECOS PAC ID: 5092106203 Enrollment ID: I20211223000995 |
| Provider Name | Kristy L Schabacker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669679650 PECOS PAC ID: 4385035393 Enrollment ID: I20211230001696 |
| Provider Name | Leymi Lima |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861617250 PECOS PAC ID: 8729470117 Enrollment ID: I20220114001094 |
| Provider Name | Alejandro Antonio Lazcano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184221590 PECOS PAC ID: 4587056759 Enrollment ID: I20220120000732 |
| Provider Name | Joshua Joseph |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194479170 PECOS PAC ID: 0345634341 Enrollment ID: I20220308000029 |
| Provider Name | Kimberly Bilyk |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922496314 PECOS PAC ID: 9234550807 Enrollment ID: I20220319000017 |
| Provider Name | Karin Lastinger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174859110 PECOS PAC ID: 9335534601 Enrollment ID: I20220323001963 |
| Provider Name | Bryan Kenneth Pasetti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043592165 PECOS PAC ID: 2163819251 Enrollment ID: I20220419002357 |
| Provider Name | Robert A Bell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811560923 PECOS PAC ID: 3375930225 Enrollment ID: I20220425001744 |
| Provider Name | Ritchy C Ernest |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629724158 PECOS PAC ID: 9436546272 Enrollment ID: I20220426003089 |
| Provider Name | Nidhi Logani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932555968 PECOS PAC ID: 5698162436 Enrollment ID: I20220426003179 |
| Provider Name | Catherine Ordonez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376017244 PECOS PAC ID: 8224415690 Enrollment ID: I20220524003257 |
| Provider Name | Jennifer Passman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780060962 PECOS PAC ID: 4789062852 Enrollment ID: I20220601001547 |
| Provider Name | Jodi-anne Fletcher |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639759269 PECOS PAC ID: 9335527423 Enrollment ID: I20220601002374 |
| Provider Name | Kristina Marie Kravitz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083351811 PECOS PAC ID: 8820476922 Enrollment ID: I20220601002624 |
| Provider Name | Allison R Forrester |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1356964134 PECOS PAC ID: 5395123905 Enrollment ID: I20220609000799 |
| Provider Name | Rebecca Pasher |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346767324 PECOS PAC ID: 3971983909 Enrollment ID: I20220707002313 |
| Provider Name | Jennifer Anfinson Bittner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356725659 PECOS PAC ID: 7012398290 Enrollment ID: I20220719002642 |
| Provider Name | Monique Pardo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942867056 PECOS PAC ID: 6406288000 Enrollment ID: I20220722002219 |
| Provider Name | Chintan Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427625342 PECOS PAC ID: 2668854076 Enrollment ID: I20220802001554 |
| Provider Name | Frantz Joseph Dor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235721093 PECOS PAC ID: 2567844624 Enrollment ID: I20220805001135 |
| Provider Name | Shinette May B Araneta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114299708 PECOS PAC ID: 9335301597 Enrollment ID: I20220811002234 |
| Provider Name | Baraa Barakat |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194458513 PECOS PAC ID: 1557744075 Enrollment ID: I20220816003926 |
| Provider Name | Abby L Ciosici |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033396528 PECOS PAC ID: 2264815638 Enrollment ID: I20220817002392 |
| Provider Name | Lothies Cuyugan Cates |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487390787 PECOS PAC ID: 9234512641 Enrollment ID: I20220818000001 |
| Provider Name | Sivan M Rubin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881202703 PECOS PAC ID: 4284017484 Enrollment ID: I20220822001606 |
| Provider Name | Stephanie Marie Subirats |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801387030 PECOS PAC ID: 1951785880 Enrollment ID: I20220826001025 |
| Provider Name | Natalia Advolodkin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770050031 PECOS PAC ID: 7719361500 Enrollment ID: I20220827000570 |
| Provider Name | Samira Mohmand |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225414634 PECOS PAC ID: 2163753534 Enrollment ID: I20220829000662 |
| Provider Name | Raymond A Perez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508178351 PECOS PAC ID: 8224412804 Enrollment ID: I20220831000867 |
| Provider Name | Hannah Marie Penna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043793987 PECOS PAC ID: 3577947175 Enrollment ID: I20220831001429 |
| Provider Name | William Howard Harris |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336249838 PECOS PAC ID: 0244614352 Enrollment ID: I20220908000861 |
| Provider Name | Sara Virginia Howell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003534603 PECOS PAC ID: 5092190074 Enrollment ID: I20220912001233 |
| Provider Name | Ashley Rose Meltzer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083287833 PECOS PAC ID: 8426433483 Enrollment ID: I20220913000207 |
| Provider Name | Danielle Bellida Saunders |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487030375 PECOS PAC ID: 5294110979 Enrollment ID: I20220915003235 |
| Provider Name | Brenda M Ranagan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023334653 PECOS PAC ID: 4789714494 Enrollment ID: I20220916002216 |
| Provider Name | Amy Joy Mcsherry |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083365340 PECOS PAC ID: 5193100444 Enrollment ID: I20220922001315 |
| Provider Name | Denisha Bhanderi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396405148 PECOS PAC ID: 3274918495 Enrollment ID: I20220923000602 |
| Provider Name | Ketziel Estrada |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619535259 PECOS PAC ID: 2264818970 Enrollment ID: I20221004002101 |
| Provider Name | Jessica Ashley Bonvenca |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528735628 PECOS PAC ID: 1658757240 Enrollment ID: I20221005001813 |
| Provider Name | Lisa Jeanne Vanderee |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366164410 PECOS PAC ID: 6204212806 Enrollment ID: I20221005002367 |
| Provider Name | Nadege Black |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932820594 PECOS PAC ID: 3375929656 Enrollment ID: I20221011000900 |
| Provider Name | Mia Ann Stanzione |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174244065 PECOS PAC ID: 9234505595 Enrollment ID: I20221012001289 |
| Provider Name | Mallory Ann Rickloff |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225751746 PECOS PAC ID: 1759757719 Enrollment ID: I20221014002946 |
| Provider Name | Christine Marie Rodriguez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417315581 PECOS PAC ID: 6608242672 Enrollment ID: I20221016000007 |
| Provider Name | Sharena Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225507395 PECOS PAC ID: 3577939552 Enrollment ID: I20221017000477 |
| Provider Name | Magdalena Anna Vergauwen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225378185 PECOS PAC ID: 6204202971 Enrollment ID: I20221020001802 |
| Provider Name | Samuel Adolfo Rivera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912637158 PECOS PAC ID: 6800263153 Enrollment ID: I20221031001166 |
| Provider Name | Savannah Booker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003531963 PECOS PAC ID: 1951778646 Enrollment ID: I20221109002578 |
| Provider Name | Seth Robert Burgman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619684396 PECOS PAC ID: 0941677579 Enrollment ID: I20221110001034 |
| Provider Name | Sophia Lucille Walters |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1972232908 PECOS PAC ID: 5496122962 Enrollment ID: I20221114001108 |
| Provider Name | Tatyana Voskresenskaya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194137778 PECOS PAC ID: 6901180348 Enrollment ID: I20221115000221 |
| Provider Name | Alexis Brackins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093482978 PECOS PAC ID: 0648648014 Enrollment ID: I20221116002874 |
| Provider Name | Alex Butcher |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659804706 PECOS PAC ID: 5294103115 Enrollment ID: I20221128002063 |
| Provider Name | Ronald W Simon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245387000 PECOS PAC ID: 8325128101 Enrollment ID: I20221201001822 |
| Provider Name | Thomas Felipe Pelaez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114637337 PECOS PAC ID: 0840669875 Enrollment ID: I20221213002187 |
| Provider Name | Janet L. Proly |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366728107 PECOS PAC ID: 5395114037 Enrollment ID: I20221220000027 |
| Provider Name | Ruth Kayla Ehrlich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073665188 PECOS PAC ID: 0042202665 Enrollment ID: I20221228000626 |
| Provider Name | Kathleen B Gunter |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316039233 PECOS PAC ID: 8820130164 Enrollment ID: I20221230000836 |
| Provider Name | Maria Angelica Garrido |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669601365 PECOS PAC ID: 1052781234 Enrollment ID: I20230104001720 |
| Provider Name | Mary Kathryn Costello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922729219 PECOS PAC ID: 5092185223 Enrollment ID: I20230105000887 |
| Provider Name | Ekta S Jhaveri |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316374242 PECOS PAC ID: 4183094006 Enrollment ID: I20230110000739 |
| Provider Name | Sally Hall Snead |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316659287 PECOS PAC ID: 2365812294 Enrollment ID: I20230110001173 |
| Provider Name | Michelle Siller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205284361 PECOS PAC ID: 7911377809 Enrollment ID: I20230111000723 |
| Provider Name | Lisette Marie Nelson-horn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477718203 PECOS PAC ID: 3779954409 Enrollment ID: I20230117002105 |
| Provider Name | Oleg Nikolenko |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487229308 PECOS PAC ID: 7315343589 Enrollment ID: I20230130002695 |
| Provider Name | Alyssa Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588375398 PECOS PAC ID: 3678944675 Enrollment ID: I20230131001452 |
| Provider Name | Bethany Moebs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730543059 PECOS PAC ID: 1254699457 Enrollment ID: I20230202000397 |
| Provider Name | Sharlene Lizette Ko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275061210 PECOS PAC ID: 1658704796 Enrollment ID: I20230202001564 |
| Provider Name | Mary-jo Mohl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851562912 PECOS PAC ID: 8527431022 Enrollment ID: I20230303001079 |
| Provider Name | Sharon Solomon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407498991 PECOS PAC ID: 6709259906 Enrollment ID: I20230309001615 |
| Provider Name | Alexandra N Strachan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629559422 PECOS PAC ID: 9739552845 Enrollment ID: I20230309002909 |
| Provider Name | Sandy Yu |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154561322 PECOS PAC ID: 2365815420 Enrollment ID: I20230310001586 |
| Provider Name | Aaron David Loucks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700328465 PECOS PAC ID: 1254705189 Enrollment ID: I20230316000898 |
| Provider Name | Robert Matthew Sockol |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942613229 PECOS PAC ID: 1557692423 Enrollment ID: I20230323002857 |
| Provider Name | Alysha Allen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568163277 PECOS PAC ID: 7517332323 Enrollment ID: I20230410001601 |
| Provider Name | Zeinab Elagamy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205541463 PECOS PAC ID: 7810362647 Enrollment ID: I20230410002249 |
| Provider Name | Kimberly Lurie Byrne |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528293982 PECOS PAC ID: 4284009028 Enrollment ID: I20230411000062 |
| Provider Name | Samantha Loscalzo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134688484 PECOS PAC ID: 7214302769 Enrollment ID: I20230414000366 |
| Provider Name | Thais Preston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194426627 PECOS PAC ID: 1658746151 Enrollment ID: I20230415000026 |
| Provider Name | Sharon Razla |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699296251 PECOS PAC ID: 9537524665 Enrollment ID: I20230425001846 |
| Provider Name | Danya Isabelle Briefer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942942594 PECOS PAC ID: 8628434966 Enrollment ID: I20230511002968 |
| Provider Name | Stephen Dean Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528734480 PECOS PAC ID: 5193181782 Enrollment ID: I20230524002703 |
| Provider Name | Jasmine Monique Thomas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528520830 PECOS PAC ID: 9436516879 Enrollment ID: I20230531000862 |
| Provider Name | Jannelys Cruz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316586324 PECOS PAC ID: 6305204124 Enrollment ID: I20230626002696 |
| Provider Name | Brylie Wingler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811698202 PECOS PAC ID: 3971962226 Enrollment ID: I20230705000084 |
| Provider Name | Kate Poisson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962084319 PECOS PAC ID: 0648639948 Enrollment ID: I20230705001833 |
| Provider Name | Carlo Martinez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942905930 PECOS PAC ID: 2264892033 Enrollment ID: I20230712003503 |
| Provider Name | Fatima Hamouda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457964314 PECOS PAC ID: 3274945167 Enrollment ID: I20230717002642 |
| Provider Name | Lara V Carballo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124229786 PECOS PAC ID: 4688034705 Enrollment ID: I20230720000864 |
| Provider Name | Courtney Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699359729 PECOS PAC ID: 4688035009 Enrollment ID: I20230802000812 |
| Provider Name | Rhyan Nicole Scearce |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518410802 PECOS PAC ID: 6204231129 Enrollment ID: I20230814001610 |
| Provider Name | Campbell Anderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710661079 PECOS PAC ID: 0547622110 Enrollment ID: I20230814002270 |
| Provider Name | Alexis Kate Turgeon Zraouli |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073214557 PECOS PAC ID: 6901268499 Enrollment ID: I20230815004053 |
| Provider Name | Kayla Maluf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629613385 PECOS PAC ID: 8628401379 Enrollment ID: I20230816001160 |
| Provider Name | Noralie Gaton Unson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659708584 PECOS PAC ID: 6507228848 Enrollment ID: I20230817002499 |
| Provider Name | Diandra Hamilton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376035089 PECOS PAC ID: 7214399468 Enrollment ID: I20230821000252 |
| Provider Name | Tara Jane Donohue |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801046271 PECOS PAC ID: 1658733712 Enrollment ID: I20230822001009 |
| Provider Name | Kevin Alvarez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053091942 PECOS PAC ID: 0244693901 Enrollment ID: I20230828003404 |
| Provider Name | Brittany Adkins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477938751 PECOS PAC ID: 3072976489 Enrollment ID: I20230901001605 |
| Provider Name | Misagh Dorost |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336658939 PECOS PAC ID: 0143581538 Enrollment ID: I20230901002533 |
| Provider Name | Santresa M Odum |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679907588 PECOS PAC ID: 8123482379 Enrollment ID: I20230907000167 |
| Provider Name | Sheila Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659063451 PECOS PAC ID: 0446614507 Enrollment ID: I20230908000909 |
| Provider Name | Jessica Ana Gonzalez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871279190 PECOS PAC ID: 1456715317 Enrollment ID: I20230911002222 |
| Provider Name | Sumathi Srinivasan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639670920 PECOS PAC ID: 2466816335 Enrollment ID: I20230911002625 |
| Provider Name | Miriam Carrie Wasserman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538451315 PECOS PAC ID: 5890026264 Enrollment ID: I20230912001777 |
| Provider Name | Leslie Elizabeth Merson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740571884 PECOS PAC ID: 9739543521 Enrollment ID: I20230912003669 |
| Provider Name | Katherine A Enea |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700569258 PECOS PAC ID: 7810341955 Enrollment ID: I20230925000062 |
| Provider Name | Valentina Martinez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700660586 PECOS PAC ID: 9739533241 Enrollment ID: I20231002001554 |
| Provider Name | Stephanie Wilber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356128540 PECOS PAC ID: 8820442262 Enrollment ID: I20231003003560 |
| Provider Name | Karen Greenberg Schroeder |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881311983 PECOS PAC ID: 6103271408 Enrollment ID: I20231005003411 |
| Provider Name | Debra Sue Rymar |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932828688 PECOS PAC ID: 9931554250 Enrollment ID: I20231006000045 |
| Provider Name | Samonik Walton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295427482 PECOS PAC ID: 8527413863 Enrollment ID: I20231006001246 |
| Provider Name | Veronica Garcia Nieves |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477859718 PECOS PAC ID: 5395190227 Enrollment ID: I20231013000045 |
| Provider Name | Justin Rowley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912383134 PECOS PAC ID: 5890080071 Enrollment ID: I20231013002632 |
| Provider Name | Pareshbhai Shingala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598544496 PECOS PAC ID: 6608222443 Enrollment ID: I20231030003557 |
| Provider Name | Ryan Manning |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306187232 PECOS PAC ID: 6406202076 Enrollment ID: I20231102001874 |
| Provider Name | Maxx G Mercogliano |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871373274 PECOS PAC ID: 9234586561 Enrollment ID: I20231108002232 |
| Provider Name | Kellie Geuting |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518255157 PECOS PAC ID: 9830508712 Enrollment ID: I20231115000554 |
| Provider Name | Ebony Dacres |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407314271 PECOS PAC ID: 2961850557 Enrollment ID: I20231120002585 |
| Provider Name | Evelyn Michel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366566093 PECOS PAC ID: 9931274156 Enrollment ID: I20231201000584 |
| Provider Name | Meghan Brems |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932428844 PECOS PAC ID: 1153770425 Enrollment ID: I20231212001791 |
| Provider Name | Cameron Lamar Rolle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457904617 PECOS PAC ID: 4688023583 Enrollment ID: I20231216000413 |
| Provider Name | Leon Daley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033886551 PECOS PAC ID: 2163878661 Enrollment ID: I20231220002959 |
| Provider Name | Bradley Edward Capps |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316216401 PECOS PAC ID: 8921458977 Enrollment ID: I20240103001486 |
| Provider Name | Daniele Gravett |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548966716 PECOS PAC ID: 9133570120 Enrollment ID: I20240103003410 |
| Provider Name | Marcy Sandi Rambaran |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891916664 PECOS PAC ID: 4789035304 Enrollment ID: I20240109000256 |
| Provider Name | Nancee Sue Davis-sharkey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548481500 PECOS PAC ID: 3779934237 Enrollment ID: I20240109002222 |
| Provider Name | Stephen A Harper |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851662407 PECOS PAC ID: 4183076185 Enrollment ID: I20240116000298 |
| Provider Name | Angela Maria Ferrufino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225431364 PECOS PAC ID: 4880046770 Enrollment ID: I20240116003464 |
| Provider Name | Tyler Scott Lacertosa |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003316274 PECOS PAC ID: 5799137535 Enrollment ID: I20240117003850 |
| Provider Name | Evelin Garcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669154456 PECOS PAC ID: 6406209949 Enrollment ID: I20240131002533 |
| Provider Name | Ma Yolanda Armonio Ortega |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558616771 PECOS PAC ID: 2567806185 Enrollment ID: I20240221004326 |
| Provider Name | Michael Renta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245746601 PECOS PAC ID: 3971833203 Enrollment ID: I20240223003931 |
| Provider Name | Ripal Patel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013120534 PECOS PAC ID: 4587009873 Enrollment ID: I20240227000085 |
| Provider Name | Jessica Bernard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275992877 PECOS PAC ID: 7810294634 Enrollment ID: I20240227000108 |
| Provider Name | Yostina Khalil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396506374 PECOS PAC ID: 9032554035 Enrollment ID: I20240229002227 |
| Provider Name | Caroline Arancon Olegario |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629832019 PECOS PAC ID: 7810333291 Enrollment ID: I20240307001793 |
| Provider Name | Susan Sylvi Anderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831366541 PECOS PAC ID: 5698111474 Enrollment ID: I20240314004069 |
| Provider Name | Martin Castillo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558524678 PECOS PAC ID: 4284996828 Enrollment ID: I20240315000420 |
| Provider Name | Gabriel Eisner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780060749 PECOS PAC ID: 0840618286 Enrollment ID: I20240326000898 |
| Provider Name | Jeremy Baber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568603116 PECOS PAC ID: 6800234204 Enrollment ID: I20240404001330 |
| Provider Name | Vanessa Desinor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518418458 PECOS PAC ID: 9638518509 Enrollment ID: I20240412000066 |
| Provider Name | Nicole Fernandez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477305118 PECOS PAC ID: 6901246032 Enrollment ID: I20240506003711 |
| Provider Name | Katherine Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780466797 PECOS PAC ID: 0547601551 Enrollment ID: I20240508001864 |
| Provider Name | Iris Lee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598522963 PECOS PAC ID: 5991146730 Enrollment ID: I20240510003360 |
| Provider Name | Isabel Melendez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053507723 PECOS PAC ID: 9436591831 Enrollment ID: I20240530003796 |
| Provider Name | Peter Engert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083831150 PECOS PAC ID: 1456338219 Enrollment ID: I20240531001481 |
| Provider Name | Dora Estela Sarli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841508033 PECOS PAC ID: 9032651302 Enrollment ID: I20240603002085 |
| Mailing Address | Practice Location Address |
|---|---|
| Sobe Innovative Rehabilitation Pllc 3029 Ne 188th St Apt 1110, Aventura, FL 33180-2874 Ph: (585) 354-3847 | Sobe Innovative Rehabilitation Pllc 21005 Ne 19th Ct, Miami, FL 33179-1511 Ph: (585) 354-3847 |
Christine J De Graan, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-6334 | |
Mr. Paul Mario Ramos, R.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 14440 Sw 93rd Ct, Miami, FL 33176 Phone: 305-799-1084 | |
Kinetic Rehab Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 13349 Sw 122nd Ave, Miami, FL 33186 Phone: 786-201-1703 Fax: 786-573-3619 | |
Zerquera Integrative Medical Institute Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9220 Sw 72nd St Ste 105, Miami, FL 33173 Phone: 305-274-4351 Fax: 305-274-1455 | |
Ms. Desaly Daniella Gonzalez, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9619 S Dixie Hwy, Miami, FL 33156 Phone: 305-722-0568 Fax: 305-670-0899 | |
Cristina Maria Pappas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9524 Sw 118th Pl, Miami, FL 33186 Phone: 305-283-4669 | |
Physical Therapy Now Allapattah Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2060 Nw 22nd Ave Ste L5, Miami, FL 33142 Phone: 786-703-7074 |