| Todd Bourgeois, DPT | |
|
12671 Us Highway 98 W, Ste 213, Destin, FL 32550-8300 | |
| (850) 650-4186 | |
| (850) 650-4188 |
| Full Name | Todd Bourgeois |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 12671 Us Highway 98 W, Destin, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598937815 | NPI | - | NPPES |
| BQ467Z | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT23853 (Florida) | Primary |
| Provider Name | Rehab Advantage Solutions Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1164908307 PECOS PAC ID: 0749534865 Enrollment ID: O20181108000550 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Bourgeois, DPT 1950 Bluewater Blvd, Ste 101, Niceville, FL 32578-3887 Ph: (850) 897-3334 | Todd Bourgeois, DPT 12671 Us Highway 98 W, Ste 213, Destin, FL 32550-8300 Ph: (850) 650-4186 |
Robin S Glinka, MPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 35008 Emerald Coast Pkwy Ste 400, Destin, FL 32541 Phone: 850-714-6166 Fax: 850-714-6167 | |
Ms. Haley Camille Burks, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1008 Airport Rd, Destin, FL 32541 Phone: 850-837-3349 | |
Quinn Physical Therapy P.a. Physical Therapist Medicare: Medicare Enrolled Practice Location: 623 Harbor Blvd, Suite # 5, Destin, FL 32541 Phone: 850-654-8588 Fax: 850-654-8758 | |
Leslie Marie Lesage, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 138 Sandestin Ln, Destin, FL 32550 Phone: 850-267-2887 | |
Mr. Travis Hunter Nelson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 35008 Emerald Coast Pkwy Ste 400, Destin, FL 32541 Phone: 850-714-6166 | |
Melissa Payne, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 195 Mattie M Kelly Blvd, Destin, FL 32541 Phone: 850-654-4588 | |
Jo Elizabeth Blazer, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 180 Poinciana Blvd, Suite #4, Destin, FL 32550 Phone: 850-269-1717 Fax: 850-269-2022 |