| John Miles Frisvold, DPT | |
|
3715 Crill Ave, Palatka, FL 32177-9168 | |
| (386) 329-2613 | |
| (386) 329-2614 |
| Full Name | John Miles Frisvold |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 22 Years |
| Location | 3715 Crill Ave, Palatka, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336230796 | NPI | - | NPPES |
| Y115R | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT21516 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Palatka Physical Therapy Llc | 6507955689 | 2 |
| Provider Name | Palatka Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1619169661 PECOS PAC ID: 6507955689 Enrollment ID: O20071128000278 |
| Mailing Address | Practice Location Address |
|---|---|
| John Miles Frisvold, DPT 115 E Forest Park Dr, Palatka, FL 32177-6605 Ph: (386) 937-5073 | John Miles Frisvold, DPT 3715 Crill Ave, Palatka, FL 32177-9168 Ph: (386) 329-2613 |
Alison Brooks, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1305 Saint Johns Ave, Palatka, FL 32177 Phone: 386-546-3379 | |
Amanda Buckles, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 616 Oak St, Palatka, FL 32177 Phone: 386-312-0022 Fax: 386-312-0535 | |
Julie Rene Collier, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 203 S Moody Rd, Palatka, FL 32177 Phone: 386-329-9905 | |
Mr. Gaylain Lee Schumacher, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1062 S State Road 19, Suite 1, Palatka, FL 32177 Phone: 386-329-5576 Fax: 386-329-8922 | |
Julie Catherine Grout, MPT,ATC, LAT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 Zeagler Dr, Suite 401, Palatka, FL 32177 Phone: 904-755-8844 | |
Kepler Enterprises, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Zeagler Dr, Palatka, FL 32177 Phone: 386-325-4077 Fax: 386-312-0938 |