| Alisa Dangsupa, PT, DPT | |
|
3820 Colonial Blvd, Suite 103, Fort Myers, FL 33966-1094 | |
| (239) 275-4411 | |
| Not Available |
| Full Name | Alisa Dangsupa |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3820 Colonial Blvd, Fort Myers, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235365115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 24639 (Florida) | Primary |
| Provider Name | Florida Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1114542032 PECOS PAC ID: 3779991559 Enrollment ID: O20210415001126 |
| Mailing Address | Practice Location Address |
|---|---|
| Alisa Dangsupa, PT, DPT 15340 Will Lew Ln, Fort Myers, FL 33908-4247 Ph: (813) 431-2052 | Alisa Dangsupa, PT, DPT 3820 Colonial Blvd, Suite 103, Fort Myers, FL 33966-1094 Ph: (239) 275-4411 |
Jeremy Beasley, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13010 Metro Pkwy, Fort Myers, FL 33966 Phone: 239-561-5616 | |
Dr. Jorie Schinella, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4550 Colonial Blvd, Fort Myers, FL 33966 Phone: 239-931-5700 | |
Zulai Gretz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2525 First St, Fort Myers, FL 33901 Phone: 239-425-2255 | |
Jill Ivory Collins, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14421 Metropolis Ave Ste 103, Fort Myers, FL 33912 Phone: 239-561-2778 Fax: 239-561-8107 | |
Brandon Edwards, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 15751 San Carlos Blvd Ste 4, Fort Myers, FL 33908 Phone: 239-337-2739 | |
J Kru Therapy Llc Dba Focus Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4997 Royal Gulf Cir, Fort Myers, FL 33966 Phone: 239-287-9734 | |
Heidi Lynn Lecius, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8710 College Pkwy, Fort Myers, FL 33919 Phone: 239-482-8788 Fax: 239-482-1566 |