| Summit Physical Therapy, Pllc | |
|
2219 County Road 220 Ste 304, Middleburg, FL 32068-7778 | |
| (360) 707-8107 | |
| Not Available |
| Full Name | Summit Physical Therapy, Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2219 County Road 220 Ste 304, Middleburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992348569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Kirsten Renae Catamas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770982449 PECOS PAC ID: 6901027218 Enrollment ID: I20141029001487 |
| Provider Name | Alyssa Kelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740793264 PECOS PAC ID: 0143578971 Enrollment ID: I20180809005364 |
| Provider Name | Tara Reeves Vollertsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144363680 PECOS PAC ID: 7810226594 Enrollment ID: I20190905000514 |
| Provider Name | Christine Maximos |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811451073 PECOS PAC ID: 8123452059 Enrollment ID: I20191230001967 |
| Provider Name | Kaylee E Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023641073 PECOS PAC ID: 6406284025 Enrollment ID: I20200313001675 |
| Provider Name | Jessie Glennon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770257552 PECOS PAC ID: 2365848090 Enrollment ID: I20210907000011 |
| Provider Name | Jacobi A Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902380488 PECOS PAC ID: 3375939945 Enrollment ID: I20220407000488 |
| Provider Name | Hailey J Ryle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003392093 PECOS PAC ID: 5799022307 Enrollment ID: I20220923002058 |
| Provider Name | Cody Aaron Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316232804 PECOS PAC ID: 0345613329 Enrollment ID: I20230223000111 |
| Provider Name | Cody Aaron Walker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316232804 PECOS PAC ID: 0345613329 Enrollment ID: I20230223000160 |
| Provider Name | Savannah Faith Thompson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356124168 PECOS PAC ID: 2365806890 Enrollment ID: I20230915001973 |
| Provider Name | Hannah Souksavong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194506626 PECOS PAC ID: 3274989025 Enrollment ID: I20231030003909 |
| Provider Name | Arielle Aileen Labrecque |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538923131 PECOS PAC ID: 7012355746 Enrollment ID: I20240401001841 |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Physical Therapy, Pllc 2379 Carolina Cherry Ct, Fleming Island, FL 32003-3373 Ph: (360) 707-8107 | Summit Physical Therapy, Pllc 2219 County Road 220 Ste 304, Middleburg, FL 32068-7778 Ph: (360) 707-8107 |
Brooke Lucas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1658 St Vincents Way Ste 100b, Middleburg, FL 32068 Phone: 904-214-3313 | |
Micah Thomas Trent, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2219 County Road 220, Middleburg, FL 32068 Phone: 904-644-7722 | |
Tara Reeves Vollertsen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2219 County Road 220 Ste 304, Middleburg, FL 32068 Phone: 360-707-8107 | |
Katherine Wenger, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2580-3 Country Road 220, Suite 3, Middleburg, FL 32068 Phone: 855-242-6608 Fax: 855-242-6609 | |
Mrs. Kasey K Murray, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1658 St Vincents Way Ste 100b, Middleburg, FL 32068 Phone: 904-214-3083 | |
Lindsey Pleasants, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1658 St Vincents Way Ste 100, Middleburg, FL 32068 Phone: 904-214-3313 Fax: 904-406-0913 | |
Whitney Renee Kopernik, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2219 County Road 220 Ste 304, Middleburg, FL 32068 Phone: 904-644-7722 |