| Supreme Therapy, Llc | |
|
770 Keeneland Pike, Lake Mary, FL 32746-3951 | |
| (407) 321-8833 | |
| (407) 322-9966 |
| Full Name | Supreme Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 770 Keeneland Pike, Lake Mary, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225143647 | NPI | - | NPPES |
| Y066A | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT16865 (Florida) | Primary |
| 225X00000X | Occupational Therapist | OT215 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Supreme Therapy, Llc 770 Keeneland Pike, Lake Mary, FL 32746-3951 Ph: (407) 321-8833 | Supreme Therapy, Llc 770 Keeneland Pike, Lake Mary, FL 32746-3951 Ph: (407) 321-8833 |
Elizabeth Chapman Blackburn, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1337 S International Pkwy, Suite 1321, Lake Mary, FL 32746 Phone: 407-833-0802 | |
Mrs. Digmory Lizzie Adair, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 756 N Sun Dr, Lake Mary, FL 32746 Phone: 305-852-3000 | |
Patricia Bradley, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4106 W Lake Mary Blvd Ste 320, Lake Mary, FL 32746 Phone: 407-333-3971 | |
Ms. Myra Velmonte, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Ridge Rd, Lake Mary, FL 32746 Phone: 407-388-5559 | |
Sarah Kerbel, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 635 Century Pt Ste 111, Lake Mary, FL 32746 Phone: 407-792-0031 Fax: 407-792-0031 | |
Michelle Arrienda Davadilla, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Middle St, Lake Mary, FL 32746 Phone: 407-585-1210 Fax: 407-321-2340 | |
Lynn Heley Ford, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1485 International Pkwy, Lake Mary, FL 32746 Phone: 800-798-6035 |