| Coactiv Physical Therapy Llc | |
|
5816 Brunner Ct, Palmetto, FL 34221-2143 | |
| (209) 715-3817 | |
| Not Available |
| Full Name | Coactiv Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5816 Brunner Ct, Palmetto, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437813292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Yna Grageda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558956862 PECOS PAC ID: 3173930641 Enrollment ID: I20210329002517 |
| Provider Name | Kevin D Velasco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356895544 PECOS PAC ID: 2163719253 Enrollment ID: I20211011001075 |
| Provider Name | Sabino Emil Cocos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205481546 PECOS PAC ID: 6103210273 Enrollment ID: I20220307001542 |
| Provider Name | Christopher Allen Goult |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578825915 PECOS PAC ID: 4880846369 Enrollment ID: I20250116001538 |
| Mailing Address | Practice Location Address |
|---|---|
| Coactiv Physical Therapy Llc 5816 Brunner Ct, Palmetto, FL 34221-2143 Ph: (209) 715-3817 | Coactiv Physical Therapy Llc 5816 Brunner Ct, Palmetto, FL 34221-2143 Ph: (209) 715-3817 |
Steven Joseph Mccormack, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6439 Milestone Loop, Palmetto, FL 34221 Phone: 401-568-8215 | |
Nichole Marie Harold, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5108 Beacon Rd, Palmetto, FL 34221 Phone: 941-758-2111 Fax: 941-758-2082 | |
Aubrey Hawkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3315 7th Street Ct W, Palmetto, FL 34221 Phone: 941-725-1494 Fax: 941-725-1494 | |
Matthew Edward Koepke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1401 8th Ave W Ste A, Palmetto, FL 34221 Phone: 194-172-2400 | |
Beverly Ann Housel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 10th Ave W, Palmetto, FL 34221 Phone: 941-722-3582 Fax: 941-720-8322 | |
Ouida Wellenberger, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 10th Ave W, Palmetto, FL 34221 Phone: 941-722-3582 Fax: 941-729-8322 | |
Nelson Justa, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1401 8th Ave W, Palmetto, FL 34221 Phone: 941-722-4000 |