| Trent Wynn, | |
|
21756 State Road 54 Ste 102, Lutz, FL 33549-2905 | |
| (727) 475-5540 | |
| Not Available |
| Full Name | Trent Wynn |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 21756 State Road 54 Ste 102, Lutz, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770296626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PTT39819 (Florida) | Primary |
| Provider Name | Optimal Performance And Physical Therapies-brandon Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1407132632 PECOS PAC ID: 7214104587 Enrollment ID: O20120127000322 |
| Provider Name | Optimal Performance And Physical Therapies-lutz Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821429911 PECOS PAC ID: 5698904746 Enrollment ID: O20140212001333 |
| Provider Name | Optimal Performance And Physical Therapies-riverview, Llc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1063810505 PECOS PAC ID: 4688985567 Enrollment ID: O20150618001660 |
| Mailing Address | Practice Location Address |
|---|---|
| Trent Wynn, 21756 State Road 54 Ste 102, Lutz, FL 33549-2905 Ph: () - | Trent Wynn, 21756 State Road 54 Ste 102, Lutz, FL 33549-2905 Ph: (727) 475-5540 |
Elite Sports Massage And Rehab Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1868 Highland Oaks Blvd Ste B, Lutz, FL 33559 Phone: 813-434-3458 | |
Joseph Gannuscio, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22629 Laureldale Dr, Lutz, FL 33549 Phone: 813-618-2602 | |
Focus Rehab, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19706 Wild Water Cv, Lutz, FL 33559 Phone: 813-957-5885 | |
Manali Patel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23012 State Road 54 Ste 509, Lutz, FL 33549 Phone: 813-536-0129 | |
Dr. Akhil Das, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19706 Wild Water Cv, Lutz, FL 33559 Phone: 813-957-5885 | |
Mrs. Adriana Nascimento Potter, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5318 Van Dyke Rd, Lutz, FL 33558 Phone: 813-265-3033 | |
Michael Courtney, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 750 Hayes Rd, Lutz, FL 33549 Phone: 813-559-1500 |