Premier Physical Therapy And Sports Medicine | |
733 Dunlawton Ave, Ste 103, Port Orange, FL 32127-4225 | |
(386) 756-0077 | |
(386) 756-6811 |
Full Name | Premier Physical Therapy And Sports Medicine |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 733 Dunlawton Ave, Port Orange, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811185291 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 4660 (Florida) | Primary |
Provider Name | James Corwin |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558405233 PECOS PAC ID: 2365420973 Enrollment ID: I20040714000647 |
Provider Name | Nicole A Meyer |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013226273 PECOS PAC ID: 1456323286 Enrollment ID: I20040811000657 |
Provider Name | Kimberlie H Forbes |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780966911 PECOS PAC ID: 3072543719 Enrollment ID: I20050812000811 |
Provider Name | Michelle L Reynolds |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922199926 PECOS PAC ID: 7719064815 Enrollment ID: I20080415000514 |
Provider Name | David E Carn |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194910976 PECOS PAC ID: 8022197193 Enrollment ID: I20080501000243 |
Provider Name | Crystal L Sauer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629380902 PECOS PAC ID: 0345366753 Enrollment ID: I20100922001240 |
Provider Name | Hendrika G Reintjes |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598057606 PECOS PAC ID: 2466690029 Enrollment ID: I20130521000690 |
Provider Name | Stephanie Carroll |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689062580 PECOS PAC ID: 8426372350 Enrollment ID: I20150123000294 |
Provider Name | Frank C Bennett |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609189968 PECOS PAC ID: 8426374893 Enrollment ID: I20150302000794 |
Provider Name | Christina M Machado |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083091243 PECOS PAC ID: 9931410404 Enrollment ID: I20150624002633 |
Provider Name | Lindsey Faith Viorde |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225485139 PECOS PAC ID: 7315202413 Enrollment ID: I20180518002451 |
Provider Name | Paul Kudlick |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194239459 PECOS PAC ID: 8325383870 Enrollment ID: I20190102003018 |
Provider Name | Peter M Tassent |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639398902 PECOS PAC ID: 4183960719 Enrollment ID: I20190117003341 |
Provider Name | Marijke J Vandegoor |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255723334 PECOS PAC ID: 1254763196 Enrollment ID: I20191115000163 |
Provider Name | Kyle John Michalski |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447863485 PECOS PAC ID: 1153730650 Enrollment ID: I20210513001785 |
Provider Name | Cheng-han Lee |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336723949 PECOS PAC ID: 7810388634 Enrollment ID: I20220104002707 |
Provider Name | Rhonda M Pierce |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811105463 PECOS PAC ID: 8022196765 Enrollment ID: I20220523001498 |
Provider Name | Summer S Forbes |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932848710 PECOS PAC ID: 5092194241 Enrollment ID: I20220620000922 |
Provider Name | Olivia Dewey |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821712951 PECOS PAC ID: 8426424631 Enrollment ID: I20221012004072 |
Provider Name | Jesse Mccoy Pietroburgo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902533169 PECOS PAC ID: 4082081401 Enrollment ID: I20221027001838 |
Provider Name | Jennifer Gessler Porter |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528673407 PECOS PAC ID: 7315318862 Enrollment ID: I20230120001947 |
Provider Name | Rachel Marie Chesar |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104539188 PECOS PAC ID: 0446623524 Enrollment ID: I20230310002685 |
Provider Name | Brandon Mott |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407270739 PECOS PAC ID: 8224403290 Enrollment ID: I20230404001943 |
Provider Name | Olesya Vassilyera |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1710424379 PECOS PAC ID: 1456718196 Enrollment ID: I20230612000659 |
Provider Name | James Ervin Adams |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902396856 PECOS PAC ID: 2466707906 Enrollment ID: I20230621000758 |
Provider Name | Michelle Duenas |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649715509 PECOS PAC ID: 1951760149 Enrollment ID: I20230706002100 |
Provider Name | Isabel Neglia |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467904995 PECOS PAC ID: 6709142342 Enrollment ID: I20230713001189 |
Provider Name | Renata Divenere Baricelli |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922735232 PECOS PAC ID: 1850745241 Enrollment ID: I20231004001602 |
Provider Name | Danielle H Boyette |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073846895 PECOS PAC ID: 1153776281 Enrollment ID: I20231010003156 |
Provider Name | Sylvia Said |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265208532 PECOS PAC ID: 2163873035 Enrollment ID: I20240105000177 |
Mailing Address | Practice Location Address |
---|---|
Premier Physical Therapy And Sports Medicine Po Box 8600, Port St Lucie, FL 34985-8600 Ph: (772) 335-7966 | Premier Physical Therapy And Sports Medicine 733 Dunlawton Ave, Ste 103, Port Orange, FL 32127-4225 Ph: (386) 756-0077 |
Erin Kwiatkowski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Port Orange, FL 32128 Phone: 888-265-2680 | |
Mr. Jack Verhees, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4904 S Clyde Morris Blvd, Ste D2, Port Orange, FL 32129 Phone: 386-898-0908 Fax: 386-898-0242 | |
Amanda Owen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-944-7202 | |
Megan Christiansen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 800-330-7711 | |
Spencer Swift, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-944-7202 | |
Ratree Lertkitcharoenpon, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4649 Clyde Morris Blvd Unit 607, Port Orange, FL 32129 Phone: 386-256-3860 | |
Lee Ann Magiera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128 Phone: 888-265-2680 |