| Fox Rehabilitation Services Of South Carolina, Llc | |
|
800 N Lake Dr, Lexington, SC 29072-2903 | |
| (877) 407-3422 | |
| (877) 407-4329 |
| Full Name | Fox Rehabilitation Services Of South Carolina, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 800 N Lake Dr, Lexington, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902133689 | NPI | - | NPPES |
| Provider Name | Paz Mcpherson Shilling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457302507 PECOS PAC ID: 7517869134 Enrollment ID: I20040123000731 |
| Provider Name | Lee Garner Chumney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073539193 PECOS PAC ID: 0840181087 Enrollment ID: I20040324001314 |
| Provider Name | Heather Lynne Frederick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225177520 PECOS PAC ID: 3072508019 Enrollment ID: I20040419000491 |
| Provider Name | Vicky F Parnell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922230630 PECOS PAC ID: 2466412499 Enrollment ID: I20041014000447 |
| Provider Name | Sara E Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003904897 PECOS PAC ID: 7810934379 Enrollment ID: I20050415000336 |
| Provider Name | Jessica L Wooten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013186378 PECOS PAC ID: 5395769970 Enrollment ID: I20060123000282 |
| Provider Name | Lisa Fitzmorris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801903661 PECOS PAC ID: 8123038403 Enrollment ID: I20060502000004 |
| Provider Name | Stephanie B Hardin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558370783 PECOS PAC ID: 7214937747 Enrollment ID: I20070108000342 |
| Provider Name | Ashley C Baggett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770755522 PECOS PAC ID: 0042380719 Enrollment ID: I20080606000499 |
| Provider Name | Shellie Harris |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457511859 PECOS PAC ID: 8628142478 Enrollment ID: I20080729000091 |
| Provider Name | James Baker Leigh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255452223 PECOS PAC ID: 9234204090 Enrollment ID: I20080813000931 |
| Provider Name | Arnold T Pagatpatan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457503104 PECOS PAC ID: 1254491673 Enrollment ID: I20081114000654 |
| Provider Name | Karen R Hartney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477790475 PECOS PAC ID: 3971668633 Enrollment ID: I20090211000837 |
| Provider Name | Andrea Marie Styron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124276076 PECOS PAC ID: 1355498353 Enrollment ID: I20090408000571 |
| Provider Name | Leila M Renfroe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972743375 PECOS PAC ID: 2769539667 Enrollment ID: I20090410000133 |
| Provider Name | Lisa Burch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720221724 PECOS PAC ID: 5799834792 Enrollment ID: I20090521000613 |
| Provider Name | Nicole J Chester |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568572766 PECOS PAC ID: 8628123841 Enrollment ID: I20090911000057 |
| Provider Name | Mary Krell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205066305 PECOS PAC ID: 9335288794 Enrollment ID: I20091125000282 |
| Provider Name | Melissa Wagner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336210798 PECOS PAC ID: 4587604244 Enrollment ID: I20100201000138 |
| Provider Name | Jay J Burdette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578591020 PECOS PAC ID: 5890726426 Enrollment ID: I20100326000114 |
| Provider Name | Brittany Lynn Oscarsson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740592690 PECOS PAC ID: 9234254137 Enrollment ID: I20100915001165 |
| Provider Name | Kelly M Van Vliet |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811020845 PECOS PAC ID: 2567650864 Enrollment ID: I20110103000131 |
| Provider Name | Torie F Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407140882 PECOS PAC ID: 9133397508 Enrollment ID: I20110729000618 |
| Provider Name | Patti F Daniel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912297631 PECOS PAC ID: 5193994622 Enrollment ID: I20110817000690 |
| Provider Name | Patrick F Ruppe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548373269 PECOS PAC ID: 9436171766 Enrollment ID: I20111010000261 |
| Provider Name | Callie Anne Stoll |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336429208 PECOS PAC ID: 3476713413 Enrollment ID: I20120328000607 |
| Provider Name | Robin E Overby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093072456 PECOS PAC ID: 8123282084 Enrollment ID: I20120606000229 |
| Provider Name | Linda Collins |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730455742 PECOS PAC ID: 0345406229 Enrollment ID: I20120720000308 |
| Provider Name | Jason St Clair |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639438815 PECOS PAC ID: 8820246523 Enrollment ID: I20120921000784 |
| Provider Name | Joel L Correia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306933759 PECOS PAC ID: 7810961125 Enrollment ID: I20130610000031 |
| Provider Name | Teresa F. Harrington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902157324 PECOS PAC ID: 7719126432 Enrollment ID: I20130610000395 |
| Provider Name | Kelly Ann Groh Bihlear |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609048800 PECOS PAC ID: 0244479962 Enrollment ID: I20130610000417 |
| Provider Name | Elizabeth Ponton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225384191 PECOS PAC ID: 8426298647 Enrollment ID: I20130711000904 |
| Provider Name | Danielle C Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992991558 PECOS PAC ID: 4385886191 Enrollment ID: I20130807000495 |
| Provider Name | Sarah D Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629419841 PECOS PAC ID: 4688817349 Enrollment ID: I20130827000991 |
| Provider Name | Derranita Essonya Finklin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619319258 PECOS PAC ID: 4981847316 Enrollment ID: I20130903000739 |
| Provider Name | Virginia M Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346463312 PECOS PAC ID: 5193970580 Enrollment ID: I20131014001421 |
| Provider Name | Janet Wingard Benedict |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275766081 PECOS PAC ID: 4688804016 Enrollment ID: I20140305000902 |
| Provider Name | Raymond Lockwood Murphy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366869604 PECOS PAC ID: 1557586823 Enrollment ID: I20140628000136 |
| Provider Name | Jonathan Keller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508028648 PECOS PAC ID: 0244260388 Enrollment ID: I20140928000009 |
| Provider Name | Jennifer R Hedgepath |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104943208 PECOS PAC ID: 1052531407 Enrollment ID: I20141007000228 |
| Provider Name | Simone D Demass |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659507556 PECOS PAC ID: 4587709092 Enrollment ID: I20141007001925 |
| Provider Name | Megan Stokes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720489917 PECOS PAC ID: 5799907390 Enrollment ID: I20141115000376 |
| Provider Name | Kelley Knoebel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043612047 PECOS PAC ID: 4880816271 Enrollment ID: I20141120000186 |
| Provider Name | Kristin Bevilacqua |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992000293 PECOS PAC ID: 4284817784 Enrollment ID: I20150220000864 |
| Provider Name | Teresa Grote |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124284013 PECOS PAC ID: 1951629492 Enrollment ID: I20150414001498 |
| Provider Name | David Palmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730575168 PECOS PAC ID: 1456672815 Enrollment ID: I20150610001840 |
| Provider Name | Andrea B Robbins |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669859625 PECOS PAC ID: 5395057731 Enrollment ID: I20150629000201 |
| Provider Name | Ashley Willard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821476102 PECOS PAC ID: 7214249291 Enrollment ID: I20150706000331 |
| Provider Name | Zachary Hale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558749879 PECOS PAC ID: 7416269956 Enrollment ID: I20150711000136 |
| Provider Name | Michelle L Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396855318 PECOS PAC ID: 3476866799 Enrollment ID: I20150715002473 |
| Provider Name | Emily Olson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295120806 PECOS PAC ID: 9537472444 Enrollment ID: I20150722003434 |
| Provider Name | Tanya Blatchford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023492766 PECOS PAC ID: 3173838489 Enrollment ID: I20150817000414 |
| Provider Name | Jenelle Tinsman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710029749 PECOS PAC ID: 4688982473 Enrollment ID: I20150928002116 |
| Provider Name | Erin Propst |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396114732 PECOS PAC ID: 0749599967 Enrollment ID: I20151028002611 |
| Provider Name | Lauri Salazar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174646111 PECOS PAC ID: 9739499740 Enrollment ID: I20151103002423 |
| Provider Name | Diane Huber Rogers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548630197 PECOS PAC ID: 2860792504 Enrollment ID: I20151201003047 |
| Provider Name | Ida Weston-harris |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720396419 PECOS PAC ID: 0648572875 Enrollment ID: I20160105002804 |
| Provider Name | Michael E Golob |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871730515 PECOS PAC ID: 4082917778 Enrollment ID: I20160131000018 |
| Provider Name | Catherine Kuebler Betancourt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639275167 PECOS PAC ID: 5294812236 Enrollment ID: I20160215000753 |
| Provider Name | Amber Etienne |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700244589 PECOS PAC ID: 4789982174 Enrollment ID: I20160419000904 |
| Provider Name | Emily M Hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528468998 PECOS PAC ID: 3476844036 Enrollment ID: I20160629000879 |
| Provider Name | Rashida T Hill |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376877043 PECOS PAC ID: 8022300383 Enrollment ID: I20160706001662 |
| Provider Name | Robert Cox |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437413424 PECOS PAC ID: 6406140482 Enrollment ID: I20160815000976 |
| Provider Name | Katlyn Jolly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548617228 PECOS PAC ID: 0749575371 Enrollment ID: I20160822002448 |
| Provider Name | John Remington Thomas Wilkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407309131 PECOS PAC ID: 3779870720 Enrollment ID: I20160920000691 |
| Provider Name | Tara Lynn Mast |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285181941 PECOS PAC ID: 5092094441 Enrollment ID: I20161108001246 |
| Provider Name | Latasha Britt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164971834 PECOS PAC ID: 1456630649 Enrollment ID: I20161110001193 |
| Provider Name | Virgie L Perez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033304480 PECOS PAC ID: 9537448055 Enrollment ID: I20161128000078 |
| Provider Name | Serena Zea |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639391352 PECOS PAC ID: 1456441559 Enrollment ID: I20170405000001 |
| Provider Name | Caroline Cox |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578000543 PECOS PAC ID: 2466738315 Enrollment ID: I20170410000085 |
| Provider Name | Dale Anthony Gallo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003358532 PECOS PAC ID: 9739465212 Enrollment ID: I20170418000775 |
| Provider Name | Lauren Spake Snipes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477085538 PECOS PAC ID: 3476820606 Enrollment ID: I20170518001828 |
| Provider Name | Jessica Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710268891 PECOS PAC ID: 8729355805 Enrollment ID: I20170519001310 |
| Provider Name | Kathryn Whatley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942734165 PECOS PAC ID: 3971871005 Enrollment ID: I20170614001720 |
| Provider Name | Natalie R Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639605868 PECOS PAC ID: 8022386044 Enrollment ID: I20170616000000 |
| Provider Name | Racquel Malicad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588085641 PECOS PAC ID: 3072744937 Enrollment ID: I20170619000517 |
| Provider Name | Rachel M Lombardo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134481773 PECOS PAC ID: 4486819257 Enrollment ID: I20170713003650 |
| Provider Name | Vicki Lee Parshall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669627295 PECOS PAC ID: 4284905316 Enrollment ID: I20170808000020 |
| Provider Name | Katelyn Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770037426 PECOS PAC ID: 9335411883 Enrollment ID: I20170818001058 |
| Provider Name | Mary Markham Perkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073828265 PECOS PAC ID: 0446525315 Enrollment ID: I20171002003685 |
| Provider Name | Kaitlyn Elizabeth Wright |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790208320 PECOS PAC ID: 0042585655 Enrollment ID: I20171009000390 |
| Provider Name | Amanda Zoccolo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023536968 PECOS PAC ID: 4183999527 Enrollment ID: I20171010003480 |
| Provider Name | Katherine Greenslit |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730602715 PECOS PAC ID: 0244506483 Enrollment ID: I20171016003242 |
| Provider Name | Jill Daugherty |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1548460868 PECOS PAC ID: 9739455148 Enrollment ID: I20171030000949 |
| Provider Name | Steven Greene |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073038295 PECOS PAC ID: 3072879196 Enrollment ID: I20171106002962 |
| Provider Name | Chelsea Mccomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831566645 PECOS PAC ID: 1052678380 Enrollment ID: I20171122000273 |
| Provider Name | Amanda Baker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891110011 PECOS PAC ID: 5496012254 Enrollment ID: I20171204000222 |
| Provider Name | Katelyn Kivinen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225417835 PECOS PAC ID: 3678881760 Enrollment ID: I20171204002350 |
| Provider Name | Morgan Venay Rathe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972029973 PECOS PAC ID: 0840558656 Enrollment ID: I20171228001852 |
| Provider Name | Nicole Sassaman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891209748 PECOS PAC ID: 0547529273 Enrollment ID: I20180125001315 |
| Provider Name | Laura Anne Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275031361 PECOS PAC ID: 1951662949 Enrollment ID: I20180308001555 |
| Provider Name | Malynda Ann Carruth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366559304 PECOS PAC ID: 0143225896 Enrollment ID: I20180411000909 |
| Provider Name | Marguerite Harris |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821506577 PECOS PAC ID: 2365705019 Enrollment ID: I20180411002812 |
| Provider Name | Shannon Browne |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811493141 PECOS PAC ID: 2769747898 Enrollment ID: I20180521000776 |
| Provider Name | Jamie Ellen Rubin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588069173 PECOS PAC ID: 6507111036 Enrollment ID: I20180625000304 |
| Provider Name | Audra L Vellucci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720392723 PECOS PAC ID: 7214121375 Enrollment ID: I20180626001730 |
| Provider Name | Joanna S Still |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841784972 PECOS PAC ID: 5799032421 Enrollment ID: I20180725003779 |
| Provider Name | Rodney Joseph Wishart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700378973 PECOS PAC ID: 4284982844 Enrollment ID: I20180730003437 |
| Provider Name | Amanda Lauren Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073099966 PECOS PAC ID: 9739438680 Enrollment ID: I20180827000003 |
| Provider Name | Jennette Marie Mowry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649728650 PECOS PAC ID: 6103176391 Enrollment ID: I20180910001731 |
| Provider Name | Patrick Fitzgerald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477895969 PECOS PAC ID: 9638420920 Enrollment ID: I20180926000679 |
| Provider Name | Joshua L Cook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699254227 PECOS PAC ID: 6608127881 Enrollment ID: I20180927001102 |
| Provider Name | Sydney Czaus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972084234 PECOS PAC ID: 9133471931 Enrollment ID: I20181005000817 |
| Provider Name | Amanda Wright |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942738869 PECOS PAC ID: 7012260557 Enrollment ID: I20181030001781 |
| Provider Name | Katherine Jackson Velez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164643995 PECOS PAC ID: 0143574848 Enrollment ID: I20181115002618 |
| Provider Name | Meaghan Hursey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083180103 PECOS PAC ID: 7214281757 Enrollment ID: I20181119002891 |
| Provider Name | Daniel Byron Elliott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316180433 PECOS PAC ID: 9931258092 Enrollment ID: I20181213000322 |
| Provider Name | Alina Balshem |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548431182 PECOS PAC ID: 6901050178 Enrollment ID: I20190201000782 |
| Provider Name | Jill Rowe Polhemus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093288011 PECOS PAC ID: 6800133596 Enrollment ID: I20190204002819 |
| Provider Name | Nicole Tessier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295145936 PECOS PAC ID: 4789922360 Enrollment ID: I20190206000320 |
| Provider Name | Caleen N Hawkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538632831 PECOS PAC ID: 1355689647 Enrollment ID: I20190212001543 |
| Provider Name | Nicole Christine Koechell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912461922 PECOS PAC ID: 4587903539 Enrollment ID: I20190308001717 |
| Provider Name | Kelley Gleason Williams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801352059 PECOS PAC ID: 6709126816 Enrollment ID: I20190327000052 |
| Provider Name | Dana Tooley Collins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386109494 PECOS PAC ID: 1052652039 Enrollment ID: I20190402000552 |
| Provider Name | Rebecca Collins Kelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558835959 PECOS PAC ID: 6800137282 Enrollment ID: I20190411002857 |
| Provider Name | Piper Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871062844 PECOS PAC ID: 8729320577 Enrollment ID: I20190429000710 |
| Provider Name | Kristen Geneva Greene |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538622865 PECOS PAC ID: 3072856376 Enrollment ID: I20190529001652 |
| Provider Name | Callie Morgan Carnes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235610650 PECOS PAC ID: 1456685890 Enrollment ID: I20190619000552 |
| Provider Name | Thomas Caleb Head |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619530821 PECOS PAC ID: 9537493598 Enrollment ID: I20190625001136 |
| Provider Name | Matthew Richard Vanslyke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578907739 PECOS PAC ID: 3375879976 Enrollment ID: I20190719000355 |
| Provider Name | Hayes Austin Barnett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891352332 PECOS PAC ID: 6709112337 Enrollment ID: I20190719001444 |
| Provider Name | Maurice Oliver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427555945 PECOS PAC ID: 8123354701 Enrollment ID: I20190722000218 |
| Provider Name | Thomas John Chestnut |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528489671 PECOS PAC ID: 6800195454 Enrollment ID: I20190731003177 |
| Provider Name | Samantha Linder Nolan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295163731 PECOS PAC ID: 6800023680 Enrollment ID: I20190904003304 |
| Provider Name | Samantha L Putnam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528585841 PECOS PAC ID: 1658645940 Enrollment ID: I20190930000487 |
| Provider Name | Benjamin Kyle Knight |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053968032 PECOS PAC ID: 8820328032 Enrollment ID: I20191001000675 |
| Provider Name | Ansley Wells Ard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215584891 PECOS PAC ID: 1658602693 Enrollment ID: I20191007000700 |
| Provider Name | Sara A Dixon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790820793 PECOS PAC ID: 4880925858 Enrollment ID: I20191007001953 |
| Provider Name | Andrew Jeffrey Lietzow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659926780 PECOS PAC ID: 5395076053 Enrollment ID: I20191010000434 |
| Provider Name | Emily C Gardner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588023865 PECOS PAC ID: 9638401292 Enrollment ID: I20191031000245 |
| Provider Name | Lori Carozza |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1518047687 PECOS PAC ID: 3476885898 Enrollment ID: I20191104001908 |
| Provider Name | Rachel Leaphart Backman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861049017 PECOS PAC ID: 9436481793 Enrollment ID: I20191106001052 |
| Provider Name | Susan Conroy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295850899 PECOS PAC ID: 6204268592 Enrollment ID: I20191106002900 |
| Provider Name | Lauren Virginia Brooks |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457813826 PECOS PAC ID: 6305278995 Enrollment ID: I20191120001726 |
| Provider Name | Jennifer Warren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841709391 PECOS PAC ID: 8628400223 Enrollment ID: I20191120002244 |
| Provider Name | Melanie L Speranza |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679116941 PECOS PAC ID: 4981037330 Enrollment ID: I20191126000842 |
| Provider Name | Jason Donald Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174858310 PECOS PAC ID: 9739321480 Enrollment ID: I20191217002662 |
| Provider Name | Patricia Hoffman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427192780 PECOS PAC ID: 6204930415 Enrollment ID: I20191220001056 |
| Provider Name | Nancy J Bollinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427259969 PECOS PAC ID: 8123452299 Enrollment ID: I20191223002379 |
| Provider Name | Jean Ann Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265076137 PECOS PAC ID: 5890129936 Enrollment ID: I20191226001811 |
| Provider Name | Rachel Grier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407499239 PECOS PAC ID: 4486088044 Enrollment ID: I20200107002601 |
| Provider Name | Janet A Schneider |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851730014 PECOS PAC ID: 9436383007 Enrollment ID: I20200107003357 |
| Provider Name | Frances T Kelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831735463 PECOS PAC ID: 7012343353 Enrollment ID: I20200205002588 |
| Provider Name | Sydney Paige Vanlandingham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225678626 PECOS PAC ID: 6406283902 Enrollment ID: I20200224000005 |
| Provider Name | Lindy Irene Popovich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689729881 PECOS PAC ID: 4082041389 Enrollment ID: I20200226002281 |
| Provider Name | Colleen L Mcgee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467902833 PECOS PAC ID: 8729416631 Enrollment ID: I20200306001248 |
| Provider Name | Alisha A Howard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679912158 PECOS PAC ID: 2062794290 Enrollment ID: I20200309000122 |
| Provider Name | Jennifer Drake |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760873384 PECOS PAC ID: 4385072826 Enrollment ID: I20200317001665 |
| Provider Name | Lea Mcmahon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831722891 PECOS PAC ID: 5799113981 Enrollment ID: I20200323001361 |
| Provider Name | Casey R Amato |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699179648 PECOS PAC ID: 4587905963 Enrollment ID: I20200331003544 |
| Provider Name | Quinessa C Pharr |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841446069 PECOS PAC ID: 0446680458 Enrollment ID: I20200415000508 |
| Provider Name | Tiffani Starkes Bacon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407911381 PECOS PAC ID: 4880793447 Enrollment ID: I20200417001020 |
| Provider Name | Kyle Thomas Sanders |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245752104 PECOS PAC ID: 5193090025 Enrollment ID: I20200430000169 |
| Provider Name | Perry Bonomo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174536320 PECOS PAC ID: 4284736034 Enrollment ID: I20200629002588 |
| Provider Name | Mary Lindsey Ruthven |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205453131 PECOS PAC ID: 3971926106 Enrollment ID: I20200707002422 |
| Provider Name | Christina Janushevich Samela |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700404423 PECOS PAC ID: 3173947587 Enrollment ID: I20200717002594 |
| Provider Name | Allen Thompkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821648825 PECOS PAC ID: 4385973346 Enrollment ID: I20200729000300 |
| Provider Name | Susan Ellen Scott |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053741637 PECOS PAC ID: 0648695056 Enrollment ID: I20200803000410 |
| Provider Name | Doris Odom |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417567488 PECOS PAC ID: 7012333750 Enrollment ID: I20200812002427 |
| Provider Name | Chad Mapes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912070285 PECOS PAC ID: 2668570912 Enrollment ID: I20200817002304 |
| Provider Name | Nicole Mieczkowski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356887863 PECOS PAC ID: 3779909031 Enrollment ID: I20200817003421 |
| Provider Name | Charles Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639789480 PECOS PAC ID: 5698192888 Enrollment ID: I20200902002187 |
| Provider Name | Laura Elaine Gerber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366053258 PECOS PAC ID: 8123446150 Enrollment ID: I20200908002497 |
| Provider Name | Mary Ann Betenbaugh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477163582 PECOS PAC ID: 4486072451 Enrollment ID: I20200909000093 |
| Provider Name | Dondi Lyn Hewitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285735092 PECOS PAC ID: 7012335904 Enrollment ID: I20200909001246 |
| Provider Name | Ann Olivier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770197741 PECOS PAC ID: 6305264037 Enrollment ID: I20200914000186 |
| Provider Name | Nicole Decker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104430172 PECOS PAC ID: 4880012079 Enrollment ID: I20200921001919 |
| Provider Name | Katelyn R Richards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114567682 PECOS PAC ID: 1557780244 Enrollment ID: I20200929003722 |
| Provider Name | Beth Louise Scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487689774 PECOS PAC ID: 3375582828 Enrollment ID: I20201027001377 |
| Provider Name | Jill Lampe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376140830 PECOS PAC ID: 0941611370 Enrollment ID: I20201116002143 |
| Provider Name | Karlene Guay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831193325 PECOS PAC ID: 9638259435 Enrollment ID: I20201118002725 |
| Provider Name | Lori Glisson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134315963 PECOS PAC ID: 6204867724 Enrollment ID: I20201202001341 |
| Provider Name | Alyssa Rice |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770957409 PECOS PAC ID: 7012218852 Enrollment ID: I20201208000616 |
| Provider Name | Phison Vy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154917813 PECOS PAC ID: 6901218718 Enrollment ID: I20201221001905 |
| Provider Name | Rachel Hamersky Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053907303 PECOS PAC ID: 3870906340 Enrollment ID: I20201231000434 |
| Provider Name | Hayley Mattox Cole |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851614994 PECOS PAC ID: 7911319280 Enrollment ID: I20210105002615 |
| Provider Name | Laura R. Libassi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104420280 PECOS PAC ID: 5193138030 Enrollment ID: I20210113001855 |
| Provider Name | Anthony Difrancesco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124677034 PECOS PAC ID: 2769895663 Enrollment ID: I20210114001394 |
| Provider Name | Jordan Trickel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386233690 PECOS PAC ID: 3476967811 Enrollment ID: I20210127000600 |
| Provider Name | Christy Renee Slone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326694761 PECOS PAC ID: 3274947486 Enrollment ID: I20210129001858 |
| Provider Name | Sydney Vanbeek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255922472 PECOS PAC ID: 0244645307 Enrollment ID: I20210223001575 |
| Provider Name | Jacqueline Lois Reagor Wilson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457909830 PECOS PAC ID: 0042625998 Enrollment ID: I20210226001682 |
| Provider Name | Lauren Lally |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1144864059 PECOS PAC ID: 7618394180 Enrollment ID: I20210303002142 |
| Provider Name | Sarah Elizabeth Saxon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881196095 PECOS PAC ID: 5294141792 Enrollment ID: I20210308002675 |
| Provider Name | Angela Lilley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700471315 PECOS PAC ID: 8729494067 Enrollment ID: I20210310002093 |
| Provider Name | Jessica H Roland |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427214295 PECOS PAC ID: 5991112633 Enrollment ID: I20210325001585 |
| Provider Name | Taylor Harper |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225622012 PECOS PAC ID: 0941617294 Enrollment ID: I20210402000036 |
| Provider Name | Jennifer Gudea |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619538220 PECOS PAC ID: 2567798044 Enrollment ID: I20210413002341 |
| Provider Name | Alyssa Harding |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609400258 PECOS PAC ID: 2567861065 Enrollment ID: I20210603002567 |
| Provider Name | Rachel Irene Schulte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346850807 PECOS PAC ID: 5890196141 Enrollment ID: I20210624002224 |
| Provider Name | Amanda Polanco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023684180 PECOS PAC ID: 6608277728 Enrollment ID: I20210628001391 |
| Provider Name | Kirsten Stauffer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326698135 PECOS PAC ID: 1951736412 Enrollment ID: I20210708001322 |
| Provider Name | Stephanie Cisler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316304264 PECOS PAC ID: 4486958709 Enrollment ID: I20210712002780 |
| Provider Name | Kathryn B Katko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063089860 PECOS PAC ID: 5698179133 Enrollment ID: I20210805002994 |
| Provider Name | Meredith Taylor Felder |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154721413 PECOS PAC ID: 6305240326 Enrollment ID: I20210812000742 |
| Provider Name | Jaydra Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619642261 PECOS PAC ID: 5193121135 Enrollment ID: I20210831001222 |
| Provider Name | Bonnie Knox |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154096709 PECOS PAC ID: 1355747031 Enrollment ID: I20210903000722 |
| Provider Name | Amanda Kidd |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275141871 PECOS PAC ID: 0345646063 Enrollment ID: I20210903002626 |
| Provider Name | Abigail Lowery |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891462354 PECOS PAC ID: 2062818370 Enrollment ID: I20210913001889 |
| Provider Name | Shannon Watson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902573611 PECOS PAC ID: 3870990542 Enrollment ID: I20210922002343 |
| Provider Name | Darren T Loveday |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861167587 PECOS PAC ID: 8325445810 Enrollment ID: I20210927001360 |
| Provider Name | Jennifer Shaw Dressman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902575442 PECOS PAC ID: 4789081282 Enrollment ID: I20210927001445 |
| Provider Name | Jonathon Pt Shumway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386285963 PECOS PAC ID: 6901238286 Enrollment ID: I20211005002873 |
| Provider Name | Callie Elizabeth Kimm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952777674 PECOS PAC ID: 3072911809 Enrollment ID: I20211008002423 |
| Provider Name | Lanie Brisben |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700419140 PECOS PAC ID: 7911329305 Enrollment ID: I20211012000276 |
| Provider Name | Sarah Elizabeth Padgett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134769219 PECOS PAC ID: 9739577073 Enrollment ID: I20211019002493 |
| Provider Name | Lauren Buch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568055127 PECOS PAC ID: 5698181733 Enrollment ID: I20211025001622 |
| Provider Name | Megan Honeycutt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932862786 PECOS PAC ID: 7214325612 Enrollment ID: I20211103001601 |
| Provider Name | Michael J Manneraak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356538102 PECOS PAC ID: 3870983331 Enrollment ID: I20211124001337 |
| Provider Name | Brittany Nicole Bryan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053947283 PECOS PAC ID: 9537559802 Enrollment ID: I20211130001101 |
| Provider Name | Lisa Nicole Pinnell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649616061 PECOS PAC ID: 5092105916 Enrollment ID: I20211209000060 |
| Provider Name | Bridget E Kelly |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437627668 PECOS PAC ID: 2769874361 Enrollment ID: I20220111001412 |
| Provider Name | Megan Gidley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487313110 PECOS PAC ID: 0143612184 Enrollment ID: I20220125000024 |
| Provider Name | Ellis Wall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578189270 PECOS PAC ID: 6507284247 Enrollment ID: I20220210001474 |
| Provider Name | Jenevieve C Lackey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326515727 PECOS PAC ID: 5294129250 Enrollment ID: I20220308002400 |
| Provider Name | Jehan Matoza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922339696 PECOS PAC ID: 7517352479 Enrollment ID: I20220311002063 |
| Provider Name | Cristina Marie Klymasz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487922100 PECOS PAC ID: 0547655037 Enrollment ID: I20220321000066 |
| Provider Name | Marisa Wetzel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780331785 PECOS PAC ID: 7012302540 Enrollment ID: I20220321001730 |
| Provider Name | Tiara Racquel Jones |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174126809 PECOS PAC ID: 7810382033 Enrollment ID: I20220328000850 |
| Provider Name | Rebecca Hughes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013200237 PECOS PAC ID: 0042482671 Enrollment ID: I20220330003100 |
| Provider Name | Micheal F Schuchmann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851044093 PECOS PAC ID: 5496141467 Enrollment ID: I20220331001782 |
| Provider Name | Macy Alexander |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1215684121 PECOS PAC ID: 6608262480 Enrollment ID: I20220404001084 |
| Provider Name | Nicole O'neill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598312233 PECOS PAC ID: 2961732573 Enrollment ID: I20220415000874 |
| Provider Name | Jennifer Hernandez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477957611 PECOS PAC ID: 6709124035 Enrollment ID: I20220419000105 |
| Provider Name | Olivia Grube |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750998217 PECOS PAC ID: 4789004771 Enrollment ID: I20220419002093 |
| Provider Name | Barbara Castelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356084446 PECOS PAC ID: 1355738931 Enrollment ID: I20220429000073 |
| Provider Name | Matthew Douglas Fedorchak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114564531 PECOS PAC ID: 3274968656 Enrollment ID: I20220506002058 |
| Provider Name | Spencer E Blackman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295281087 PECOS PAC ID: 9739467267 Enrollment ID: I20220523000136 |
| Provider Name | Megan Theiler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538805122 PECOS PAC ID: 8123405685 Enrollment ID: I20220523000946 |
| Provider Name | Melissa Evans |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346987278 PECOS PAC ID: 8921486366 Enrollment ID: I20220526000070 |
| Provider Name | Amy Sue Andersen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063591840 PECOS PAC ID: 2163800202 Enrollment ID: I20220602001074 |
| Provider Name | Rhonda Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033857040 PECOS PAC ID: 7214315241 Enrollment ID: I20220603001423 |
| Provider Name | Mattison Baum |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164161865 PECOS PAC ID: 5395124853 Enrollment ID: I20220614001860 |
| Provider Name | Alison Twilley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568108033 PECOS PAC ID: 5193104479 Enrollment ID: I20220616000554 |
| Provider Name | Jacquelyn Marie Maxwell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891252847 PECOS PAC ID: 8527447655 Enrollment ID: I20220621002386 |
| Provider Name | Margaret C Webber |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245820729 PECOS PAC ID: 2860872462 Enrollment ID: I20220629000050 |
| Provider Name | Holly Randolph |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295354686 PECOS PAC ID: 3870983711 Enrollment ID: I20220705000109 |
| Provider Name | Erin Allen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154060150 PECOS PAC ID: 4880074590 Enrollment ID: I20220712000061 |
| Provider Name | Lauren Harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851899660 PECOS PAC ID: 8729485255 Enrollment ID: I20220713001578 |
| Provider Name | Catherine Ohmes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174850606 PECOS PAC ID: 1557637048 Enrollment ID: I20220719003737 |
| Provider Name | Bethany Hogan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104904580 PECOS PAC ID: 6103199120 Enrollment ID: I20220726000090 |
| Provider Name | Elyse Marcelle Nicolette |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235637133 PECOS PAC ID: 9133501554 Enrollment ID: I20220802001917 |
| Provider Name | Daniel Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841939733 PECOS PAC ID: 6800278078 Enrollment ID: I20220804000890 |
| Provider Name | Emily Sligh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962141432 PECOS PAC ID: 2860875341 Enrollment ID: I20220816002140 |
| Provider Name | Sarah Elizabeth Holbrooks |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275269219 PECOS PAC ID: 6709269111 Enrollment ID: I20220818000263 |
| Provider Name | Melissa Brummond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578750188 PECOS PAC ID: 4486734001 Enrollment ID: I20220824002639 |
| Provider Name | Jonathan B Brown |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194339192 PECOS PAC ID: 4082098462 Enrollment ID: I20220902001478 |
| Provider Name | Samantha Beebe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205288206 PECOS PAC ID: 9537543855 Enrollment ID: I20220903000379 |
| Provider Name | Karli Westren |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205318987 PECOS PAC ID: 8527442805 Enrollment ID: I20220906001864 |
| Provider Name | Stacy Ester-ellen Jones |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033855176 PECOS PAC ID: 0244614469 Enrollment ID: I20220907000573 |
| Provider Name | Derek Douglas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740759349 PECOS PAC ID: 5496130429 Enrollment ID: I20220912002822 |
| Provider Name | Kelsey Finney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407577877 PECOS PAC ID: 7113302738 Enrollment ID: I20220919001701 |
| Provider Name | Kylee Ensign |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871213553 PECOS PAC ID: 3678958097 Enrollment ID: I20220920003347 |
| Provider Name | Lauren Broderick |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073234043 PECOS PAC ID: 3072998350 Enrollment ID: I20220922002990 |
| Provider Name | Kevin Lorenzen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154042588 PECOS PAC ID: 3577948728 Enrollment ID: I20220923001888 |
| Provider Name | Pamela Dawn Lowe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760686877 PECOS PAC ID: 1759767858 Enrollment ID: I20220927002072 |
| Provider Name | Bianca Dion |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457072043 PECOS PAC ID: 7911383989 Enrollment ID: I20220928001040 |
| Provider Name | Rachael Connor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235865098 PECOS PAC ID: 1254717143 Enrollment ID: I20220929002370 |
| Provider Name | Kanada N Weigt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093434516 PECOS PAC ID: 5991181760 Enrollment ID: I20220930002172 |
| Provider Name | Erica Richardson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477163731 PECOS PAC ID: 9931525805 Enrollment ID: I20221011001763 |
| Provider Name | Sarah Katherine Cooper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407575467 PECOS PAC ID: 6002282555 Enrollment ID: I20221025000784 |
| Provider Name | Alison Sfara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558087593 PECOS PAC ID: 1951778240 Enrollment ID: I20221028001786 |
| Provider Name | Kate C Dimond |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811292121 PECOS PAC ID: 9638352388 Enrollment ID: I20221101000104 |
| Provider Name | Tasha Beeks-gibson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427713965 PECOS PAC ID: 2163899022 Enrollment ID: I20221104002442 |
| Provider Name | Rachel Stephenson Daniels |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235761479 PECOS PAC ID: 5698143832 Enrollment ID: I20221121000259 |
| Provider Name | Ann Elise Crisafulli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346857190 PECOS PAC ID: 3870912405 Enrollment ID: I20221215003084 |
| Provider Name | Holly O'mara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295446417 PECOS PAC ID: 4385013119 Enrollment ID: I20221216001939 |
| Provider Name | Claire Beautz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184356578 PECOS PAC ID: 9931578655 Enrollment ID: I20221219002509 |
| Provider Name | Daniel Edward Seringer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518236082 PECOS PAC ID: 1456721687 Enrollment ID: I20230105000852 |
| Provider Name | Jane Hilton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245943513 PECOS PAC ID: 9537530266 Enrollment ID: I20230117001951 |
| Provider Name | Deryk Matheny |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922719525 PECOS PAC ID: 8527439298 Enrollment ID: I20230118000215 |
| Provider Name | Diane Sweeney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013428234 PECOS PAC ID: 5092071662 Enrollment ID: I20230201001042 |
| Provider Name | Makeiba Allen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457969214 PECOS PAC ID: 7517384209 Enrollment ID: I20230201003067 |
| Provider Name | Lauren Cornwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982248027 PECOS PAC ID: 8820422751 Enrollment ID: I20230202000836 |
| Provider Name | Robyn Lindsey Caldwell Bellavia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962648220 PECOS PAC ID: 9830561497 Enrollment ID: I20230207002938 |
| Provider Name | Robyn Culbertson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093278640 PECOS PAC ID: 2567834021 Enrollment ID: I20230209000625 |
| Provider Name | Taylor Gee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508250176 PECOS PAC ID: 1658744222 Enrollment ID: I20230301001522 |
| Provider Name | Caryn Frances Melvin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124038120 PECOS PAC ID: 4183098221 Enrollment ID: I20230313002048 |
| Provider Name | Haley Schaller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164127783 PECOS PAC ID: 8628433786 Enrollment ID: I20230426000277 |
| Provider Name | Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770288227 PECOS PAC ID: 9537524699 Enrollment ID: I20230426000280 |
| Provider Name | Sonya Lane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598058315 PECOS PAC ID: 4486019411 Enrollment ID: I20230427000119 |
| Provider Name | Tammy Thompson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174910624 PECOS PAC ID: 1456716166 Enrollment ID: I20230503000427 |
| Provider Name | Ayomide Calkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598465593 PECOS PAC ID: 2668837253 Enrollment ID: I20230504000720 |
| Provider Name | Katherine Wells Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043948623 PECOS PAC ID: 7810352382 Enrollment ID: I20230505001342 |
| Provider Name | Danielle Oesterle |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528598174 PECOS PAC ID: 9234548884 Enrollment ID: I20230518002682 |
| Provider Name | Lily Middleton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801419742 PECOS PAC ID: 7315368990 Enrollment ID: I20230524001054 |
| Provider Name | Sandra Kohen David |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336652114 PECOS PAC ID: 2567828445 Enrollment ID: I20230525001839 |
| Provider Name | Neidra Robinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710679949 PECOS PAC ID: 9537527817 Enrollment ID: I20230619000387 |
| Provider Name | Jazlyn Sharissa Wiggins |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679266704 PECOS PAC ID: 0143688424 Enrollment ID: I20230619000521 |
| Provider Name | Joanne Patricia Joyner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326323635 PECOS PAC ID: 2062870298 Enrollment ID: I20230621001206 |
| Provider Name | Melanie Rosen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730352626 PECOS PAC ID: 1153555206 Enrollment ID: I20230623001017 |
| Provider Name | Cynthia Chandler Williamson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689601429 PECOS PAC ID: 5395103311 Enrollment ID: I20230623002179 |
| Provider Name | Melissa Dehaan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861185829 PECOS PAC ID: 8820456627 Enrollment ID: I20230627002049 |
| Provider Name | Christina Khal |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679960561 PECOS PAC ID: 5698145423 Enrollment ID: I20230629002751 |
| Provider Name | Caroline Brianne Tanner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598440489 PECOS PAC ID: 4587023924 Enrollment ID: I20230703003109 |
| Provider Name | Amanda Marie Barrett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578293858 PECOS PAC ID: 8224405683 Enrollment ID: I20230707003398 |
| Provider Name | Lauren Campbell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356028120 PECOS PAC ID: 9436519170 Enrollment ID: I20230713001540 |
| Provider Name | Ann Ludlow |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780381079 PECOS PAC ID: 0042670697 Enrollment ID: I20230714001619 |
| Provider Name | Rachel Fate |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841970548 PECOS PAC ID: 5395106645 Enrollment ID: I20230802002730 |
| Provider Name | Patricia Mckenna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669019550 PECOS PAC ID: 1456712686 Enrollment ID: I20230803001494 |
| Provider Name | Lucas Rizer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770904716 PECOS PAC ID: 6901184480 Enrollment ID: I20230809000251 |
| Provider Name | Alyssa Rose Alfano |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770278632 PECOS PAC ID: 1052773918 Enrollment ID: I20230809004135 |
| Provider Name | Nancy Crawley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821779281 PECOS PAC ID: 4486016060 Enrollment ID: I20230814002926 |
| Provider Name | Emily Whitesell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245912971 PECOS PAC ID: 7315309713 Enrollment ID: I20230817000212 |
| Provider Name | Brooke Garfield |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467135582 PECOS PAC ID: 6800259706 Enrollment ID: I20230824003524 |
| Provider Name | Anne Gaucher |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457034860 PECOS PAC ID: 2466815246 Enrollment ID: I20230825002959 |
| Provider Name | Naida Carol Roden |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306521109 PECOS PAC ID: 5496118234 Enrollment ID: I20230828002079 |
| Provider Name | Kaitlyn Aubrey Hudson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861277329 PECOS PAC ID: 9830553700 Enrollment ID: I20230911002572 |
| Provider Name | Elizabeth Morgan Allen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780467787 PECOS PAC ID: 8022472927 Enrollment ID: I20230911003630 |
| Provider Name | Ashley Macko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588950364 PECOS PAC ID: 0042489296 Enrollment ID: I20230913000811 |
| Provider Name | Caroline Rice |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285301945 PECOS PAC ID: 8729442322 Enrollment ID: I20230915000497 |
| Provider Name | Joanna Levins Fleming |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730965849 PECOS PAC ID: 9739543109 Enrollment ID: I20230919000752 |
| Provider Name | Judith Downs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609227602 PECOS PAC ID: 4486008141 Enrollment ID: I20230929001263 |
| Provider Name | Ashley Ann Gardo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1568096824 PECOS PAC ID: 1557716982 Enrollment ID: I20231004003598 |
| Provider Name | Seth Josefsberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730772989 PECOS PAC ID: 7517312432 Enrollment ID: I20231012003420 |
| Provider Name | Myra Ann Hutto |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275317232 PECOS PAC ID: 4587019419 Enrollment ID: I20231012004040 |
| Provider Name | Bailey Alexandra Provencal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861276347 PECOS PAC ID: 6002261757 Enrollment ID: I20231016002013 |
| Provider Name | Ryan Bradley Vancauwenbergh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174192009 PECOS PAC ID: 0143624957 Enrollment ID: I20231030003282 |
| Provider Name | Beth Reeves |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013792076 PECOS PAC ID: 7012363898 Enrollment ID: I20231031001117 |
| Provider Name | Emily Leigh Watson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619609294 PECOS PAC ID: 5294181921 Enrollment ID: I20231031003852 |
| Provider Name | Andrea Pyle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013039932 PECOS PAC ID: 1456536283 Enrollment ID: I20231102000248 |
| Provider Name | Laura Ellen Boselowitz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831670280 PECOS PAC ID: 2961859046 Enrollment ID: I20231110001833 |
| Provider Name | Miranda Gay |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649056565 PECOS PAC ID: 3476900564 Enrollment ID: I20231110002045 |
| Provider Name | Rosemarie Newport |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821405614 PECOS PAC ID: 5092162040 Enrollment ID: I20231113001611 |
| Provider Name | James Franklin Elliott |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083496343 PECOS PAC ID: 7416305891 Enrollment ID: I20231122003261 |
| Provider Name | Melissa Carr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518622273 PECOS PAC ID: 4880053677 Enrollment ID: I20231218000663 |
| Provider Name | Tia Mcknight |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003103144 PECOS PAC ID: 8022477538 Enrollment ID: I20231222002751 |
| Provider Name | Patricia Mccann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659561686 PECOS PAC ID: 3173585999 Enrollment ID: I20231223000176 |
| Provider Name | Elizabeth Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265818728 PECOS PAC ID: 4981910015 Enrollment ID: I20231225000126 |
| Provider Name | Tracy Skelson Cross |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841457116 PECOS PAC ID: 4284084534 Enrollment ID: I20231228001542 |
| Provider Name | Anne Machen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558045534 PECOS PAC ID: 3274991369 Enrollment ID: I20231229000717 |
| Provider Name | Christa Lawler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720854946 PECOS PAC ID: 4587014691 Enrollment ID: I20240102000575 |
| Provider Name | Olivia Naughton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255097440 PECOS PAC ID: 4082004395 Enrollment ID: I20240117002166 |
| Provider Name | Frank Artura |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285129452 PECOS PAC ID: 5395093918 Enrollment ID: I20240122002190 |
| Provider Name | Laura Clarity |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669513305 PECOS PAC ID: 3779769047 Enrollment ID: I20240123004439 |
| Provider Name | Robyn Patrice Lynn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225228331 PECOS PAC ID: 7113370040 Enrollment ID: I20240126003921 |
| Provider Name | Brandi Anne Zetrouer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457660490 PECOS PAC ID: 2567805898 Enrollment ID: I20240202003855 |
| Provider Name | Dionne Julia Joseph |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063809507 PECOS PAC ID: 5799128682 Enrollment ID: I20240207003519 |
| Provider Name | Kalela Lively |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659134153 PECOS PAC ID: 0941644876 Enrollment ID: I20240220001271 |
| Provider Name | Brandon Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538752464 PECOS PAC ID: 5193107878 Enrollment ID: I20240222003359 |
| Provider Name | Charlotte Myers Howell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740703289 PECOS PAC ID: 0547605537 Enrollment ID: I20240229001953 |
| Provider Name | Laura Jackson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457844110 PECOS PAC ID: 6800273798 Enrollment ID: I20240305004681 |
| Provider Name | Patrick Keane |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629321641 PECOS PAC ID: 5193161255 Enrollment ID: I20240311003981 |
| Provider Name | Jessica Kase |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023418811 PECOS PAC ID: 8820218191 Enrollment ID: I20240326002751 |
| Provider Name | Alec Ducharme |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184482994 PECOS PAC ID: 9537506332 Enrollment ID: I20240327003639 |
| Provider Name | Abagail Pisano |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902556186 PECOS PAC ID: 0941688576 Enrollment ID: I20240328000127 |
| Provider Name | Alison Schonfeld |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770526832 PECOS PAC ID: 4587562996 Enrollment ID: I20240328002190 |
| Provider Name | Lori Kury |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871729970 PECOS PAC ID: 1052722030 Enrollment ID: I20240328003699 |
| Provider Name | Anna Marie Cancienne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851879928 PECOS PAC ID: 1254779622 Enrollment ID: I20240403004469 |
| Provider Name | Sydney Sweinhart |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083214571 PECOS PAC ID: 5890133144 Enrollment ID: I20240404003348 |
| Provider Name | Karen Mcmahon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811141153 PECOS PAC ID: 0547482945 Enrollment ID: I20240411001145 |
| Provider Name | Nilaxi Tailor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962910927 PECOS PAC ID: 7517308505 Enrollment ID: I20240508001036 |
| Provider Name | Lisa Fralinger |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841842374 PECOS PAC ID: 0345782025 Enrollment ID: I20240610001960 |
| Provider Name | Hannah M Shirah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003421223 PECOS PAC ID: 6002359668 Enrollment ID: I20240624003538 |
| Provider Name | Evan Harold Robinette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376384362 PECOS PAC ID: 9133664089 Enrollment ID: I20240716000189 |
| Provider Name | Annsley Judy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770228223 PECOS PAC ID: 0446796403 Enrollment ID: I20240725003883 |
| Provider Name | Jared Scott Ballard |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417441833 PECOS PAC ID: 3870030653 Enrollment ID: I20240730002849 |
| Provider Name | Samantha Prestia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407692999 PECOS PAC ID: 3971040049 Enrollment ID: I20240807001071 |
| Provider Name | Allison Hutcheson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508696261 PECOS PAC ID: 7517406275 Enrollment ID: I20240826001953 |
| Provider Name | Joshua Brown |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164133674 PECOS PAC ID: 0648710012 Enrollment ID: I20240911004897 |
| Provider Name | Brandi Shaw |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902159411 PECOS PAC ID: 8921549791 Enrollment ID: I20240919002935 |
| Provider Name | Morgan Pace |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043040751 PECOS PAC ID: 8628509916 Enrollment ID: I20240926003016 |
| Provider Name | Gretchen Croson Mcallister |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225685175 PECOS PAC ID: 5193256196 Enrollment ID: I20241001003700 |
| Provider Name | Cheryl Werba |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386360972 PECOS PAC ID: 6002895943 Enrollment ID: I20241007000073 |
| Provider Name | Susan Dempsey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841021060 PECOS PAC ID: 5092246637 Enrollment ID: I20241007001414 |
| Provider Name | Surbhi Arya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376077958 PECOS PAC ID: 5698044642 Enrollment ID: I20241007003282 |
| Provider Name | William B Jones |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437595071 PECOS PAC ID: 8628509239 Enrollment ID: I20241008000372 |
| Provider Name | Kathy Hughes Felder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578397154 PECOS PAC ID: 3375075328 Enrollment ID: I20241015002282 |
| Provider Name | Julie Bart |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104242494 PECOS PAC ID: 6002349313 Enrollment ID: I20241024004026 |
| Provider Name | Samyukta Kappagantula |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548752181 PECOS PAC ID: 5698023315 Enrollment ID: I20241025002556 |
| Provider Name | Genelle Thompson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770300741 PECOS PAC ID: 5294268488 Enrollment ID: I20241025003131 |
| Provider Name | Kaitlyn Hartig |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962943662 PECOS PAC ID: 5698208742 Enrollment ID: I20241028001621 |
| Provider Name | Julie Kelly Robertson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104320449 PECOS PAC ID: 6305379918 Enrollment ID: I20241104001536 |
| Provider Name | Maysa Hannawi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699315432 PECOS PAC ID: 5991239493 Enrollment ID: I20241106001836 |
| Provider Name | Lauren Ray |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881420719 PECOS PAC ID: 2860926375 Enrollment ID: I20241106002559 |
| Provider Name | Sandra Allison Larue |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720254683 PECOS PAC ID: 5991239360 Enrollment ID: I20241107000777 |
| Provider Name | Angela Elaine Biggar |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669704599 PECOS PAC ID: 8820522915 Enrollment ID: I20241112002932 |
| Provider Name | Ashlynn Riley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164123006 PECOS PAC ID: 4587198510 Enrollment ID: I20241113000765 |
| Provider Name | Garrett Bartzsch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144056029 PECOS PAC ID: 5890220594 Enrollment ID: I20241118003362 |
| Provider Name | Stephen Garst |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770623530 PECOS PAC ID: 6103351689 Enrollment ID: I20241120002726 |
| Provider Name | Jacqueline Skonieczki Homer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851878383 PECOS PAC ID: 1557896883 Enrollment ID: I20241125000211 |
| Provider Name | Samantha Verga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245950740 PECOS PAC ID: 0840675377 Enrollment ID: I20241125003384 |
| Provider Name | Pamela Lee Laudino |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164871992 PECOS PAC ID: 3173058039 Enrollment ID: I20241202001410 |
| Provider Name | Kent Perry Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194811414 PECOS PAC ID: 0941250641 Enrollment ID: I20241209000656 |
| Provider Name | Kayla Ann Garrow |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952810863 PECOS PAC ID: 2668908880 Enrollment ID: I20241211003989 |
| Provider Name | Amber Flicek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396209524 PECOS PAC ID: 8426585225 Enrollment ID: I20241218000218 |
| Provider Name | Rebekah Mckinney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306661970 PECOS PAC ID: 1153858980 Enrollment ID: I20241218001585 |
| Provider Name | Nicole Dimauro |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699261503 PECOS PAC ID: 6204183635 Enrollment ID: I20250107002284 |
| Provider Name | Kimberly Skinner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083420145 PECOS PAC ID: 3870021512 Enrollment ID: I20250109000946 |
| Provider Name | Gregory Pemberton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093938722 PECOS PAC ID: 9436178902 Enrollment ID: I20250113001910 |
| Provider Name | Tedd Falk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982398202 PECOS PAC ID: 2365802212 Enrollment ID: I20250121002748 |
| Provider Name | Gregory Pemberton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093938722 PECOS PAC ID: 9436178902 Enrollment ID: I20250124001483 |
| Provider Name | Elizabeth Coats |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598574196 PECOS PAC ID: 3779012109 Enrollment ID: I20250129002602 |
| Provider Name | Seyedhossein Mahdavi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588489934 PECOS PAC ID: 9133659303 Enrollment ID: I20250204001825 |
| Provider Name | Jacob Vanhouten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316561897 PECOS PAC ID: 3577985696 Enrollment ID: I20250206000246 |
| Provider Name | Nicole Elizabeth Mccabe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215410394 PECOS PAC ID: 8729453402 Enrollment ID: I20250211000416 |
| Provider Name | Mallory Sanders |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629474895 PECOS PAC ID: 1254852205 Enrollment ID: I20250306000177 |
| Provider Name | Alicia George |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1497057509 PECOS PAC ID: 1052654175 Enrollment ID: I20250312001284 |
| Provider Name | Kayla Elizabeth Conway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841808730 PECOS PAC ID: 6709308273 Enrollment ID: I20250313004068 |
| Provider Name | Maxwell Edward Cutty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770041915 PECOS PAC ID: 0941722755 Enrollment ID: I20250321001383 |
| Provider Name | Janie Logue |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386442259 PECOS PAC ID: 4486177854 Enrollment ID: I20250326001662 |
| Provider Name | Kaitlin Ford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841663952 PECOS PAC ID: 6406154509 Enrollment ID: I20250327004025 |
| Provider Name | Muhammad Wilson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245038082 PECOS PAC ID: 3476076167 Enrollment ID: I20250403000859 |
| Provider Name | Katherine Ginn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669270864 PECOS PAC ID: 1052835444 Enrollment ID: I20250407003195 |
| Provider Name | Sydney Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366240921 PECOS PAC ID: 1850815101 Enrollment ID: I20250408001460 |
| Provider Name | Mary Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003614223 PECOS PAC ID: 6406370428 Enrollment ID: I20250410002591 |
| Provider Name | Michael Greiner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649590597 PECOS PAC ID: 0840270682 Enrollment ID: I20250412000331 |
| Provider Name | Courtney Marie Gist |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942097860 PECOS PAC ID: 4486170594 Enrollment ID: I20250430003786 |
| Provider Name | Kathleen Eaton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780859116 PECOS PAC ID: 6103964390 Enrollment ID: I20250506000455 |
| Provider Name | Carlyn Leverone |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225460496 PECOS PAC ID: 8527283993 Enrollment ID: I20250507002121 |
| Provider Name | Maleah Phipps |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104601517 PECOS PAC ID: 2860840725 Enrollment ID: I20250520000134 |
| Provider Name | Shawna Rae O'brien |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003214958 PECOS PAC ID: 4688105711 Enrollment ID: I20250522002617 |
| Provider Name | Kaitlin Anne Slade |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376216127 PECOS PAC ID: 0446779383 Enrollment ID: I20250523001331 |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Rehabilitation Services Of South Carolina, Llc 7 Carnegie Plz, Cherry Hill, NJ 08003-1020 Ph: (877) 407-3422 | Fox Rehabilitation Services Of South Carolina, Llc 800 N Lake Dr, Lexington, SC 29072-2903 Ph: (877) 407-3422 |
Lauren Elizabeth Montgomery, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 364 Longs Pond Rd Ste H, Lexington, SC 29073 Phone: 803-358-9400 Fax: 803-358-9898 | |
Mary Brown, Physical Therapist Medicare: Medicare Enrolled Practice Location: 800 N Lake Dr, Lexington, SC 29072 Phone: 877-407-3422 Fax: 877-407-4329 | |
Ms. Benita Reolaine Tobias, PT, CLT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 Palmetto Park Blvd, Ste B, Lexington, SC 29072 Phone: 803-359-2323 Fax: 803-359-2331 | |
Tanya Blatchford, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 N Lake Dr, Lexington, SC 29072 Phone: 877-407-3422 | |
Amanda Polanco, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 N Lake Dr, Lexington, SC 29072 Phone: 877-407-3422 | |
Rhonda Johnson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 800 N Lake Dr, Lexington, SC 29072 Phone: 877-407-3422 Fax: 877-407-4329 | |
Erin Elizabeth Moore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Wellmore Dr, Lexington, SC 29072 Phone: 912-661-4994 |