| Dr Matthew Shanklin, DPT | |
|
6701 38th Ave N Ste A, Saint Petersburg, FL 33710-1500 | |
| (813) 458-5008 | |
| Not Available |
| Full Name | Dr Matthew Shanklin |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 6701 38th Ave N Ste A, Saint Petersburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588146443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | PT33862 (Florida) | Primary |
| Entity Name | Ethos Health Lakeland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013409598 PECOS PAC ID: 1153720750 Enrollment ID: O20210602001643 |
| Entity Name | Ethos Health Tampa 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154813640 PECOS PAC ID: 6002215464 Enrollment ID: O20210604001689 |
| Entity Name | Ethos Health Tampa 4 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326530817 PECOS PAC ID: 8628470796 Enrollment ID: O20210712003242 |
| Entity Name | Ethos Health Tampa 3, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609368190 PECOS PAC ID: 9830593904 Enrollment ID: O20210811002554 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Shanklin, DPT 327 26th Ave N Apt 3, Saint Petersburg, FL 33704-3437 Ph: (813) 458-5008 | Dr Matthew Shanklin, DPT 6701 38th Ave N Ste A, Saint Petersburg, FL 33710-1500 Ph: (813) 458-5008 |
Mr. Kazi Zayn Hassan, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4201 31st St S, Saint Petersburg, FL 33712 Phone: 872-231-3162 Fax: 702-977-1496 | |
Dr. John Placheta Lenhart, MD DC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6110 Dr Mlk Jr St No, Saint Petersburg, FL 33703 Phone: 727-527-2505 Fax: 727-527-6961 | |
Nicole Marie Faith, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 10300 4th St N, Saint Petersburg, FL 33716 Phone: 727-568-1000 | |
Dr. Ricky P. Lockett, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5800 49th St N Ste S-207, Saint Petersburg, FL 33709 Phone: 727-896-8686 Fax: 727-317-2716 | |
Mrs. Jennifer Erin Mccarrick, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5144 Central Ave, Saint Petersburg, FL 33707 Phone: 727-328-8442 Fax: 727-328-1042 |