| Shanine Theres Fogle, | |
|
8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | |
| (352) 382-7214 | |
| (352) 382-7781 |
| Full Name | Shanine Theres Fogle |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 8477 S Suncoast Blvd, Homosassa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265105175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT13740 (Florida) | Primary |
| Provider Name | Empowerme Rehabilitation Florida, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1184257602 PECOS PAC ID: 3274962790 Enrollment ID: O20200406000039 |
| Provider Name | Onr National Speech Pathology Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972965952 PECOS PAC ID: 2668463522 Enrollment ID: O20210528001837 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanine Theres Fogle, 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 Ph: (352) 382-7214 | Shanine Theres Fogle, 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 Ph: (352) 382-7214 |
Charity Bass, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8477 S Suncoast Blvd, Homosassa, FL 34446 Phone: 800-804-9961 | |
Radha M Patel, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8477 S Suncoast Blvd, Homosassa, FL 34446 Phone: 800-804-9961 | |
Amber Smith Joiner, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8477 S Suncoast Blvd, Homosassa, FL 34446 Phone: 352-382-1141 | |
Kathleen Ann Davis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8477 S Suncoast Blvd, Homosassa, FL 34446 Phone: 352-382-4800 | |
Marlo Cuyugan, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8477 S Suncoast Blvd, Homosassa, FL 34446 Phone: 800-804-9961 | |
Andre Lynne Erlandson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4088 S Kindness Pt, Homosassa, FL 34446 Phone: 352-628-4556 |