| Brian Ivy, | |
|
7901 4th St N Ste 300, St Petersburg, FL 33702-4399 | |
| (813) 421-0697 | |
| Not Available |
| Full Name | Brian Ivy |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 7901 4th St N Ste 300, St 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 |
|---|---|---|---|
| 1548771389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 11254 (North Carolina) | Secondary |
| 225X00000X | Occupational Therapist | OT19227 (Florida) | Primary |
| Provider Name | Kennedy White & Riggs Orthopedic Associates |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568528032 PECOS PAC ID: 0840185310 Enrollment ID: O20040216000597 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Ivy, 7901 4th St N Ste 300, St Petersburg, FL 33702-4399 Ph: () - | Brian Ivy, 7901 4th St N Ste 300, St Petersburg, FL 33702-4399 Ph: (813) 421-0697 |
Kara Lee Mihelich, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9814 49th Ave N, St Petersburg, FL 33708 Phone: 813-850-4816 | |
Deborah Ann Nelson, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 6th St S, St Petersburg, FL 33701 Phone: 727-502-6910 | |
James Burns, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 16th St S, St Petersburg, FL 33705 Phone: 813-785-1385 | |
Michelle Libin, MED., OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 6th St S, St Petersburg, FL 33701 Phone: 727-767-8440 | |
Aegis Group Practice Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 34th St S, St Petersburg, FL 33711 Phone: 800-444-6845 Fax: 479-478-2852 | |
William Virgil Lee Shepherd Iii, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 62nd St S, St Petersburg, FL 33707 Phone: 727-347-6151 | |
Making Small Talk Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1923 Dolphin Blvd S, St Petersburg, FL 33707 Phone: 727-743-3369 Fax: 727-473-1400 |