Tara Reeves Vollertsen, DPT | |
2219 County Road 220 Ste 304, Middleburg, FL 32068-7778 | |
(360) 707-8107 | |
Not Available |
Full Name | Tara Reeves Vollertsen |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 18 Years |
Location | 2219 County Road 220 Ste 304, Middleburg, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144363680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT23181 (Florida) | Secondary |
225100000X | Physical Therapist | PT30511 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Physical Therapy, Pllc | 7416384763 | 8 |
Provider Name | Genesis Health Development Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033154992 PECOS PAC ID: 4183538614 Enrollment ID: O20140429000503 |
Provider Name | Summit Physical Therapy, Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992348569 PECOS PAC ID: 7416384763 Enrollment ID: O20200226000194 |
Mailing Address | Practice Location Address |
---|---|
Tara Reeves Vollertsen, DPT 2379 Carolina Cherry Ct, Fleming Island, FL 32003-3373 Ph: (360) 707-8107 | Tara Reeves Vollertsen, DPT 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 | |
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 |