| Bonita Springs Sports & Physical Therapy Center Inc | |
|
26201 S Tamiami Trl, Bonita Springs, FL 34134 | |
| (239) 498-0558 | |
| (239) 498-0557 |
| Full Name | Bonita Springs Sports & Physical Therapy Center Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 26201 S Tamiami Trl, Bonita Springs, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104893361 | NPI | - | NPPES |
| Y905Q | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Florida) | Primary |
| Provider Name | Sandra L Klassen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710955687 PECOS PAC ID: 1052205895 Enrollment ID: I20111130000755 |
| Provider Name | Ashley Spencer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639421795 PECOS PAC ID: 5799937264 Enrollment ID: I20121207000146 |
| Provider Name | Kimberly Ann Backe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073607834 PECOS PAC ID: 7214112788 Enrollment ID: I20150515001294 |
| Provider Name | Jason L Burns |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861868770 PECOS PAC ID: 8921317231 Enrollment ID: I20151027000972 |
| Provider Name | Alexandra K Lesh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992359426 PECOS PAC ID: 0941539316 Enrollment ID: I20190910002500 |
| Provider Name | Vivek V Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891336608 PECOS PAC ID: 1850725490 Enrollment ID: I20200107001989 |
| Provider Name | Aniya K Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205297108 PECOS PAC ID: 4082025580 Enrollment ID: I20201203002321 |
| Provider Name | Christine M Coyne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528076338 PECOS PAC ID: 1951312586 Enrollment ID: I20210723000691 |
| Provider Name | Justin D Hahn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124638473 PECOS PAC ID: 2365853900 Enrollment ID: I20221118001055 |
| Provider Name | Michael A Comello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235910142 PECOS PAC ID: 6608224654 Enrollment ID: I20231130003400 |
| Provider Name | Alannah Seidler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487334900 PECOS PAC ID: 7113380353 Enrollment ID: I20240126003917 |
| Mailing Address | Practice Location Address |
|---|---|
| Bonita Springs Sports & Physical Therapy Center Inc 26201 S Tamiami Trl, Bonita Springs, FL 34134 Ph: (239) 498-0558 | Bonita Springs Sports & Physical Therapy Center Inc 26201 S Tamiami Trl, Bonita Springs, FL 34134 Ph: (239) 498-0558 |
Dr. Daniel Fox, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25241 Elementary Way, Bonita Springs, FL 34135 Phone: 239-947-4184 | |
Inmotion Fitness And Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24850 Old 41 Rd, Suite 17, Bonita Springs, FL 34135 Phone: 239-947-3900 Fax: 239-236-0647 | |
Nicholas Cacicedo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25241 Elementary Way Ste 200, Bonita Springs, FL 34135 Phone: 239-947-4184 Fax: 239-941-4171 | |
Emily K Bartels, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24820 Burnt Pine Dr, Suite 4, Bonita Springs, FL 34134 Phone: 239-947-4184 Fax: 239-947-4171 | |
Keith C Bennett, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9401 Fountain Medical Ct # 101d, Bonita Springs, FL 34135 Phone: 239-494-4241 Fax: 239-908-6227 | |
Julie Ann Myers-buczynski, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9520 Bonita Beach Rd Se, Bonita Springs, FL 34135 Phone: 239-514-2310 | |
Patricia J Mcdevitt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28501 Matteotti Vw, Bonita Springs, FL 34135 Phone: 239-444-1185 |