Tara Fisher, DPT | |
3680 N Wickham Rd Ste B, Melbourne, FL 32935-2327 | |
(321) 255-5500 | |
(321) 255-5551 |
Full Name | Tara Fisher |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 3680 N Wickham Rd Ste B, Melbourne, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154529634 | NPI | - | NPPES |
9639 | Other | CO | CO LICENSE |
28732 | Other | FL | FL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2782 (Hawaii) | Secondary |
225100000X | Physical Therapist | 9639 (Colorado) | Secondary |
225100000X | Physical Therapist | 28732 (Florida) | Primary |
Provider Name | Beachside Physical Therapy Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1457390874 PECOS PAC ID: 1052202769 Enrollment ID: O20070605000506 |
Mailing Address | Practice Location Address |
---|---|
Tara Fisher, DPT 3680 N Wickham Rd Ste B, Melbourne, FL 32935-2327 Ph: (321) 255-5500 | Tara Fisher, DPT 3680 N Wickham Rd Ste B, Melbourne, FL 32935-2327 Ph: (321) 255-5500 |
Richard Thomas King V, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 494 N Harbor City Blvd, Melbourne, FL 32935 Phone: 321-610-7978 Fax: 321-610-7979 | |
Abigail Dunn Regan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3536 Peninsula Cir, Melbourne, FL 32940 Phone: 321-342-1175 | |
Analisa Sablay, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3040 N Wickham Rd, Suite 7, Melbourne, FL 32935 Phone: 321-255-9546 Fax: 321-255-4690 | |
Mathew Simon Kronman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1698 W Hibiscus Blvd, Suite A, Melbourne, FL 32901 Phone: 321-768-6119 Fax: 321-768-1710 | |
Daryl Clayton Jacobs Ii, DPT, MTC, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8045 Spyglass Hill Rd, Suite 103, Melbourne, FL 32940 Phone: 321-757-5515 | |
Roberta Neves, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4450 W Eau Gallie Blvd, Melbourne, FL 32934 Phone: 321-255-6627 | |
Stacie Jean Razzino, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1300 Bedford Dr, Suite 105, Melbourne, FL 32940 Phone: 321-242-7575 |