| Back In Motion Sport & Spine Physical Therapy Llc | |
|
9400 Gladiolus Dr Ste 100, Fort Myers, FL 33908-6698 | |
| (239) 223-0484 | |
| (239) 790-0969 |
| Full Name | Back In Motion Sport & Spine Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 9400 Gladiolus Dr Ste 100, Fort Myers, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831616416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251S0007X | Physical Therapist - Sports | 30740 (Florida) | Secondary |
| 225100000X | Physical Therapist | PT30740 (Florida) | Primary |
| Provider Name | Sharon L Sims |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598881807 PECOS PAC ID: 2860558954 Enrollment ID: I20090225000216 |
| Provider Name | Alexander Robert Sebben |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457592636 PECOS PAC ID: 8426107376 Enrollment ID: I20090522000404 |
| Provider Name | Vishal Samuel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396205142 PECOS PAC ID: 0244571784 Enrollment ID: I20190409003078 |
| Provider Name | James Porco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720634959 PECOS PAC ID: 5092045492 Enrollment ID: I20190927001696 |
| Provider Name | Jenna Stasi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902452147 PECOS PAC ID: 4981934304 Enrollment ID: I20190927002284 |
| Provider Name | Anthony W Simone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922677509 PECOS PAC ID: 4587065586 Enrollment ID: I20210629000305 |
| Provider Name | James Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063943603 PECOS PAC ID: 7315349297 Enrollment ID: I20220108000141 |
| Provider Name | Daniel Lyons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700400835 PECOS PAC ID: 5890118145 Enrollment ID: I20220210002525 |
| Provider Name | James David Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518513381 PECOS PAC ID: 6709116957 Enrollment ID: I20220310002930 |
| Provider Name | Megan Felton Burlage |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164159604 PECOS PAC ID: 4587040795 Enrollment ID: I20220926001379 |
| Provider Name | Jenna Lee Carter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477094548 PECOS PAC ID: 7517331341 Enrollment ID: I20230320000011 |
| Provider Name | Brandon Gregory Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003699976 PECOS PAC ID: 7810351509 Enrollment ID: I20230913003908 |
| Provider Name | Joseph Anthony Molina |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700662962 PECOS PAC ID: 6507217809 Enrollment ID: I20240111001394 |
| Provider Name | Aspen Hixon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275149940 PECOS PAC ID: 5193190205 Enrollment ID: I20240125003910 |
| Provider Name | Justin Jaquette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871239756 PECOS PAC ID: 2062865074 Enrollment ID: I20240125004085 |
| Provider Name | Jacqueline Pettit |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437927746 PECOS PAC ID: 1254784507 Enrollment ID: I20240202000687 |
| Provider Name | Dillon Tighe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538922000 PECOS PAC ID: 3779921499 Enrollment ID: I20240401001735 |
| Provider Name | Amy Sue Flaherty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710388566 PECOS PAC ID: 4981824620 Enrollment ID: I20240827000880 |
| Mailing Address | Practice Location Address |
|---|---|
| Back In Motion Sport & Spine Physical Therapy Llc 9400 Gladiolus Dr Ste 100, Fort Myers, FL 33908-6698 Ph: (239) 223-2484 | Back In Motion Sport & Spine Physical Therapy Llc 9400 Gladiolus Dr Ste 100, Fort Myers, FL 33908-6698 Ph: (239) 223-0484 |
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 |