Wirat Lertkitcharoenpon, PT,DPT | |
1849 Forough Cir, Port Orange, FL 32128-6023 | |
(386) 562-5439 | |
(386) 760-8927 |
Full Name | Wirat Lertkitcharoenpon |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 9 Years |
Location | 1849 Forough Cir, Port Orange, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811423205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT11845 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Activefit Rehab Physical Therapy Llc | 5991072795 | 2 |
Provider Name | Activefit Rehab Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114468873 PECOS PAC ID: 5991072795 Enrollment ID: O20170526001874 |
Mailing Address | Practice Location Address |
---|---|
Wirat Lertkitcharoenpon, PT,DPT 1849 Forough Cir, Port Orange, FL 32128-6023 Ph: (386) 562-5439 | Wirat Lertkitcharoenpon, PT,DPT 1849 Forough Cir, Port Orange, FL 32128-6023 Ph: (386) 562-5439 |
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 |