| C3 Wellness Spa | |
|
395 Village Dr, Kissimmee, FL 34759-4012 | |
| (407) 914-9168 | |
| (407) 337-8005 |
| Full Name | C3 Wellness Spa |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 395 Village Dr, Kissimmee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811490287 | NPI | - | NPPES |
| 112243500 | Medicaid | FL | |
| 024831500 | Medicaid | FL | |
| 113572200 | Medicaid | FL |
| Provider Name | Gregory Dewayne Mcclain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093763542 PECOS PAC ID: 7517035504 Enrollment ID: I20081003000388 |
| Provider Name | Jose E Rivas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1952588188 PECOS PAC ID: 4284958562 Enrollment ID: I20150114001633 |
| Provider Name | Gracia M Pierre Pierre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831538081 PECOS PAC ID: 0446566707 Enrollment ID: I20150901001273 |
| Provider Name | Michael Thrasher |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861886608 PECOS PAC ID: 8628382017 Enrollment ID: I20190215000736 |
| Provider Name | Lisa Reid |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063618692 PECOS PAC ID: 6305243841 Enrollment ID: I20210924002854 |
| Provider Name | Luis Velazquez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679172589 PECOS PAC ID: 9739577792 Enrollment ID: I20211023000151 |
| Provider Name | Noreen S Sidhom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891279071 PECOS PAC ID: 0345669057 Enrollment ID: I20220720003262 |
| Provider Name | Randy Ortiz Martinez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972265023 PECOS PAC ID: 4587048681 Enrollment ID: I20220908000469 |
| Provider Name | Sandeep Singh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205569324 PECOS PAC ID: 6002282571 Enrollment ID: I20221025001804 |
| Mailing Address | Practice Location Address |
|---|---|
| C3 Wellness Spa 2717 Eagle Canyon Dr S, Kissimmee, FL 34746-3170 Ph: (407) 914-9168 | C3 Wellness Spa 395 Village Dr, Kissimmee, FL 34759-4012 Ph: (407) 914-9168 |
Miss Germela Oliveros Valdriz, BSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 W Donegan Ave, Kissimmee, FL 34741 Phone: 407-847-2854 | |
Dr. Mary Christine Cerrado, PT, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Hilda St Ste 12, Kissimmee, FL 34741 Phone: 407-933-6684 Fax: 407-933-6611 | |
Janette Govea, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3350 W Southport Rd, Kissimmee, FL 34746 Phone: 407-846-0152 | |
Renato Calixto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1012 Emmett St, Suite C, Kissimmee, FL 34741 Phone: 407-933-0891 Fax: 407-933-0177 | |
Adriana Prieto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 W Bass St, Kissimmee, FL 34741 Phone: 407-870-5959 Fax: 407-933-6468 | |
Therapy World Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Emmett St Ste 102, Kissimmee, FL 34741 Phone: 407-913-1010 Fax: 407-992-8697 | |
Mrs. Lisa Diane Reid, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 395 Village Dr, Kissimmee, FL 34759 Phone: 407-914-9168 Fax: 407-337-8005 |