| Therapeutic Mobilities Llc | |
|
417 Bayshore Dr Venice FL 34285-1412 | |
| (941) 713-5000 | |
| Not Available |
| Full Name | Therapeutic Mobilities Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 417 Bayshore Dr, Venice, Florida |
| Authorized Official Name and Position | Margaret Kennedy (OWNER) |
| Authorized Official Contact | 9417135000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Mobilities Llc 417 Bayshore Dr Venice FL 34285-1412 Ph: (941) 713-5000 | Therapeutic Mobilities Llc 417 Bayshore Dr Venice FL 34285-1412 Ph: (941) 713-5000 |
| NPI Number | 1184999476 |
|---|---|
| Provider Enumeration Date | 03/20/2012 |
| Last Update Date | 10/20/2020 |
| Medicare PECOS PAC ID | 4486910411 |
|---|---|
| Medicare Enrollment ID | O20180126000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184999476 | NPI | - | NPPES |
| JF563A | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Florida) | Primary |
| Provider Name | Lori A Bajsanski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649695370 PECOS PAC ID: 8921034463 Enrollment ID: I20050715000126 |
| Provider Name | Mary K Hall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750438537 PECOS PAC ID: 9436379849 Enrollment ID: I20141007002631 |
| Provider Name | Jennifer Brisson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437540960 PECOS PAC ID: 6406164268 Enrollment ID: I20150929001534 |
| Provider Name | Amber N Henderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245563428 PECOS PAC ID: 1951602473 Enrollment ID: I20151229000004 |
| Provider Name | Margaret A Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427296458 PECOS PAC ID: 4981866811 Enrollment ID: I20170308000954 |
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