| Beachside Physical Therapy, Inc. | |
|
660 E Eau Gallie Blvd Ste 106, Indian Harbour Beach, FL 32937-4252 | |
| (321) 773-5290 | |
| (321) 773-5268 |
| Full Name | Beachside Physical Therapy, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 660 E Eau Gallie Blvd Ste 106, Indian Harbour Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457390874 | NPI | - | NPPES |
| 1457390874 | Other | FL | NPI |
| CK5288 | Other | FL | MEDICARE RAILROAD |
| Y901M | Other | FL | BCBS GROUP ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Michael A Ursillo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992889745 PECOS PAC ID: 5496755498 Enrollment ID: I20091219000102 |
| Provider Name | Dominick Vincent Paluso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770893174 PECOS PAC ID: 8820273691 Enrollment ID: I20130206000409 |
| Provider Name | Samantha C Lavooy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477963171 PECOS PAC ID: 7214150143 Enrollment ID: I20140522001014 |
| Provider Name | Ivanova G Parguian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164752598 PECOS PAC ID: 7214119759 Enrollment ID: I20170712000928 |
| Provider Name | Michael S Holmes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659475960 PECOS PAC ID: 1052668324 Enrollment ID: I20180717003862 |
| Provider Name | Jennifer A Fairbank |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659489391 PECOS PAC ID: 0244575595 Enrollment ID: I20181214002158 |
| Provider Name | Lenora Corbett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760442479 PECOS PAC ID: 1052730694 Enrollment ID: I20200930002170 |
| Provider Name | Sarah Ellen Middleton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366967705 PECOS PAC ID: 4284908831 Enrollment ID: I20210323002719 |
| Provider Name | Joanne Lumaban Barahona |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679144513 PECOS PAC ID: 2466858873 Enrollment ID: I20210910001001 |
| Provider Name | Tara Beth Fisher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154529634 PECOS PAC ID: 8729172762 Enrollment ID: I20230217001605 |
| Provider Name | Samantha Lynn Olson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235820937 PECOS PAC ID: 1850758558 Enrollment ID: I20230612002995 |
| Provider Name | Peyton Lynn Richardson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659083459 PECOS PAC ID: 8628439817 Enrollment ID: I20230803004277 |
| Mailing Address | Practice Location Address |
|---|---|
| Beachside Physical Therapy, Inc. 660 E Eau Gallie Blvd Ste 106, Indian Harbour Beach, FL 32937-4252 Ph: (321) 773-5290 | Beachside Physical Therapy, Inc. 660 E Eau Gallie Blvd Ste 106, Indian Harbour Beach, FL 32937-4252 Ph: (321) 773-5290 |
Anew U Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2020 Highway A1a, Suite 109, Indian Harbour Beach, FL 32937 Phone: 407-442-6343 Fax: 888-850-4342 | |
Ms. Allysen Rainier, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2030 S Patrick Dr, Indian Harbour Beach, FL 32937 Phone: 321-727-2707 | |
Jessica Diane Rassmann, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2030 S Patrick Dr, Ste 3, Indian Harbour Beach, FL 32937 Phone: 321-773-8155 Fax: 321-773-8154 | |
Mr. Jeremy Stewart, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2030 S Patrick Dr, Ste 3, Indian Harbour Beach, FL 32937 Phone: 321-773-8155 Fax: 321-773-8154 | |
Florida Therapy Center Of Indian Harbour Beach, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2060 Highway A1a Ste 306, Indian Harbour Beach, FL 32937 Phone: 321-773-1778 | |
Align Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2030 S Patrick Dr Ste 3, Indian Harbour Beach, FL 32937 Phone: 321-412-8166 Fax: 321-622-8557 | |
Tylor Anthony Bene, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2030 S Patrick Dr Ste 3, Indian Harbour Beach, FL 32937 Phone: 321-622-5707 Fax: 321-622-8557 |