| Action Therapy Group Llc | |
|
The Terrace Of Ivy Acres, 3964 Florida Ave, Jay, FL 32565-1104 | |
| (850) 741-6715 | |
| Not Available |
| Full Name | Action Therapy Group Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | The Terrace Of Ivy Acres, Jay, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548861602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Karen Pronko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477093292 PECOS PAC ID: 5294012266 Enrollment ID: I20170428000833 |
| Provider Name | Angela N West |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093206344 PECOS PAC ID: 2769738707 Enrollment ID: I20180706000151 |
| Provider Name | Jennifer S Paulley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124358403 PECOS PAC ID: 7416858808 Enrollment ID: I20201221002310 |
| Provider Name | Amy Simonetta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225563182 PECOS PAC ID: 9234567066 Enrollment ID: I20201221002450 |
| Provider Name | Carolyn Taylor |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609413137 PECOS PAC ID: 2961818471 Enrollment ID: I20210309000435 |
| Provider Name | Bridgette Dean Lowery |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487149811 PECOS PAC ID: 3375952971 Enrollment ID: I20210512000789 |
| Provider Name | Kelly Turman Robbins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194395343 PECOS PAC ID: 1254733314 Enrollment ID: I20210712002827 |
| Provider Name | Meda J Osborne |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619346723 PECOS PAC ID: 4385946862 Enrollment ID: I20211026003180 |
| Provider Name | Jane Ann Denney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578763868 PECOS PAC ID: 3779986690 Enrollment ID: I20220525002709 |
| Provider Name | Tracy Walck |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275287443 PECOS PAC ID: 0042691172 Enrollment ID: I20220720001087 |
| Provider Name | Lauren Vanslee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447703780 PECOS PAC ID: 6204173701 Enrollment ID: I20221125000526 |
| Provider Name | Amanda Green |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1497294409 PECOS PAC ID: 8820422462 Enrollment ID: I20221130000111 |
| Provider Name | Tevin Minus |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083369813 PECOS PAC ID: 9133599848 Enrollment ID: I20221221000695 |
| Provider Name | Marissa Hinnant |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508582164 PECOS PAC ID: 3173993268 Enrollment ID: I20230106000429 |
| Provider Name | Deborah Achiron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932811239 PECOS PAC ID: 1658283965 Enrollment ID: I20230207001210 |
| Provider Name | Michelle Castronuevo Lumaque |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497325930 PECOS PAC ID: 8628443884 Enrollment ID: I20230331002316 |
| Provider Name | Kyle Backofen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013678275 PECOS PAC ID: 1052776242 Enrollment ID: I20230421001327 |
| Provider Name | Savannah Payne |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578262754 PECOS PAC ID: 4587029723 Enrollment ID: I20230424000617 |
| Provider Name | Kim Douglas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548785249 PECOS PAC ID: 8729449533 Enrollment ID: I20230726002131 |
| Provider Name | Maren Vanatta |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376680108 PECOS PAC ID: 9931201266 Enrollment ID: I20230727002763 |
| Provider Name | Sydney E Alino |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205436458 PECOS PAC ID: 3072968106 Enrollment ID: I20231010003113 |
| Provider Name | Silas Tucker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205322195 PECOS PAC ID: 3173971769 Enrollment ID: I20231120002444 |
| Provider Name | Elizabeth Seals |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427833235 PECOS PAC ID: 6204284714 Enrollment ID: I20231122000207 |
| Provider Name | Jennifer Adkins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982276804 PECOS PAC ID: 0244634178 Enrollment ID: I20231204002583 |
| Provider Name | Kirsten Elisabeth Parrish |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477524114 PECOS PAC ID: 0345312179 Enrollment ID: I20231206001310 |
| Provider Name | Whitney Elona White |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669101838 PECOS PAC ID: 1456798743 Enrollment ID: I20240321003972 |
| Provider Name | Margareta M Roes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861537268 PECOS PAC ID: 0941642656 Enrollment ID: I20240528000621 |
| Provider Name | Jenny Marie Mills |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831482017 PECOS PAC ID: 0941510861 Enrollment ID: I20240605002713 |
| Provider Name | Richard Edward Chambers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184040990 PECOS PAC ID: 6406399518 Enrollment ID: I20240618000913 |
| Provider Name | Lauren Nicole Hoskins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336983766 PECOS PAC ID: 0345784203 Enrollment ID: I20240702002635 |
| Provider Name | Hannah Lisle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124871017 PECOS PAC ID: 3274078373 Enrollment ID: I20240712003186 |
| Provider Name | Cole Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205564796 PECOS PAC ID: 7113394776 Enrollment ID: I20240723004435 |
| Provider Name | Trisha Burnham |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700275815 PECOS PAC ID: 4385010297 Enrollment ID: I20240819004405 |
| Provider Name | Miah Culpepper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497538755 PECOS PAC ID: 7517498611 Enrollment ID: I20240930003918 |
| Provider Name | Allison Masterson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194550715 PECOS PAC ID: 3476086653 Enrollment ID: I20241025003087 |
| Provider Name | Amanda Demma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427871219 PECOS PAC ID: 4587199864 Enrollment ID: I20241122003086 |
| Provider Name | Micaela Mendietta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487373544 PECOS PAC ID: 2961858550 Enrollment ID: I20241125002720 |
| Provider Name | Jo Rickard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043073190 PECOS PAC ID: 5597291625 Enrollment ID: I20241211004863 |
| Provider Name | Jasmyne R Vanburen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477194017 PECOS PAC ID: 2264969674 Enrollment ID: I20241226000715 |
| Provider Name | Karis Ederer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043997976 PECOS PAC ID: 0749718401 Enrollment ID: I20250108001965 |
| Provider Name | Tracy Benway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184848384 PECOS PAC ID: 2062940471 Enrollment ID: I20250114000150 |
| Provider Name | Melissa Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497563266 PECOS PAC ID: 2668900929 Enrollment ID: I20250114002558 |
| Provider Name | Greggory Richard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255991956 PECOS PAC ID: 9133641228 Enrollment ID: I20250318002969 |
| Provider Name | Sierra Mcneil |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760282032 PECOS PAC ID: 1456874924 Enrollment ID: I20250326001395 |
| Provider Name | Shane Earley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043803026 PECOS PAC ID: 4587189824 Enrollment ID: I20250418000688 |
| Provider Name | Mary Aninos |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073989620 PECOS PAC ID: 5092230052 Enrollment ID: I20250422003526 |
| Provider Name | Bethany Debra Karker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356139687 PECOS PAC ID: 1557889219 Enrollment ID: I20250516000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Action Therapy Group Llc 3331 Summit Blvd Apt 172, Pensacola, FL 32503-4331 Ph: (850) 741-6715 | Action Therapy Group Llc The Terrace Of Ivy Acres, 3964 Florida Ave, Jay, FL 32565-1104 Ph: (850) 741-6715 |
Karis Ederer, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3964 Florida Ave, Jay, FL 32565 Phone: 850-741-6715 | |
Dr. Alex Jones, PT, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14114 Alabama St, Jay, FL 32565 Phone: 850-675-8040 Fax: 850-675-8016 | |
Mrs. Jennifer S Paulley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3964 Florida Ave, Jay, FL 32565 Phone: 850-741-6715 | |
Destiny Mead, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14114 Alabama St, Jay, FL 32565 Phone: 448-227-5840 | |
Amy Simonetta, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3964 Florida Ave, Jay, FL 32565 Phone: 850-741-6715 | |
Serena Cook, PT, CEAS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14114 Alabama St, Jay, FL 32565 Phone: 448-227-5840 |