| Mark Charles Pellman Jr, | |
|
3657 Cortez Rd W Ste 110, Bradenton, FL 34210-3171 | |
| (941) 739-7828 | |
| (941) 739-7838 |
| Full Name | Mark Charles Pellman Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3657 Cortez Rd W Ste 110, Bradenton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013631738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PTT39456 (Florida) | Primary |
| Provider Name | Bay Area Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871582742 PECOS PAC ID: 4880587351 Enrollment ID: O20040206000847 |
| Provider Name | David Stevenson Physical Therapy Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1659359511 PECOS PAC ID: 7911890488 Enrollment ID: O20140902000124 |
| Provider Name | Fitness Quest -lbk, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033579156 PECOS PAC ID: 5395023600 Enrollment ID: O20161020001238 |
| Provider Name | Fitness Quest-ellenton Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1215451471 PECOS PAC ID: 4880954924 Enrollment ID: O20180209000106 |
| Provider Name | Fq0015, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1336739119 PECOS PAC ID: 3274937297 Enrollment ID: O20210812000473 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Charles Pellman Jr, 2102 Cork Oak St, Sarasota, FL 34232-6800 Ph: (941) 320-1856 | Mark Charles Pellman Jr, 3657 Cortez Rd W Ste 110, Bradenton, FL 34210-3171 Ph: (941) 739-7828 |
Dr. Michael I. Fazio, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7844 Ashley Cir, Bradenton, FL 34201 Phone: 941-993-8494 | |
Little Steps Pediatric Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9020 Willowbrook Cir, Bradenton, FL 34212 Phone: 315-794-1742 | |
Rodney G Mendoza, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9085 Town Center Pkwy, Bradenton, FL 34202 Phone: 609-553-5150 | |
Kelly Elisabeth Swenson Hall, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3915 8th Ave W, Bradenton, FL 34205 Phone: 941-747-7741 Fax: 941-747-1431 | |
Victor Anton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11809 Hollyhock Dr, Bradenton, FL 34202 Phone: 941-727-5588 Fax: 941-727-5588 | |
Dr. Jeremy D Palubin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7274 55th Ave E, Bradenton, FL 34203 Phone: 941-752-4451 |