| Ciara Grace Maderazo Tan, | |
|
156 Nw California Blvd, Port St Lucie, FL 34986-2492 | |
| (772) 871-7170 | |
| (772) 871-9330 |
| Full Name | Ciara Grace Maderazo Tan |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 156 Nw California Blvd, Port St Lucie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528782158 | NPI | - | NPPES |
| Provider Name | Independent Physical Therapy Of Georgia Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396 |
| Provider Name | Benchmark Physical Therapy, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120 |
| Provider Name | Agilitas Usa Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20111018000281 |
| Provider Name | Drayer Physical Therapy Georgia, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962830406 PECOS PAC ID: 4284863317 Enrollment ID: O20140212000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Ciara Grace Maderazo Tan, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (866) 518-0283 | Ciara Grace Maderazo Tan, 156 Nw California Blvd, Port St Lucie, FL 34986-2492 Ph: (772) 871-7170 |
Elaine M Anderson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2485 Se Sidonia St, Port St Lucie, FL 34952 Phone: 772-337-2226 | |
Mrs. Lisette Longo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9077 S Federal Hwy, Port St Lucie, FL 34952 Phone: 772-335-4770 Fax: 772-335-4133 | |
Paul Phillip Burgener, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 156 Nw California Blvd, Port St Lucie, FL 34986 Phone: 772-871-7170 | |
Ms. Jody Rochelle Martin, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1867 Sw Jamesport Dr, Port St Lucie, FL 34953 Phone: 917-892-5187 | |
Tatiana C Madonia, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2042 Sw Providence Pl, Port St Lucie, FL 34953 Phone: 305-778-0516 | |
Alexander's Healing Hands, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 479 Nw Prima Vista Blvd, Suite A, Port St Lucie, FL 34983 Phone: 772-408-4848 Fax: 772-408-0978 | |
Mr. Edward Jacobo Morone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1680 Se Lyngate Dr Ste 203, Port St Lucie, FL 34952 Phone: 772-773-7055 |