| Ethan A Swindell, MPT | |
|
7710 S Us Highway 1, Port St Lucie, FL 34952-2320 | |
| (772) 335-5300 | |
| (772) 200-2131 |
| Full Name | Ethan A Swindell |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 7710 S Us Highway 1, 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 |
|---|---|---|---|
| 1528817384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT41618 (Florida) | Primary |
| Provider Name | Sobe Innovative Rehabilitation Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1164800595 PECOS PAC ID: 4789994336 Enrollment ID: O20151110002827 |
| Provider Name | Vitality Rehab Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1518736297 PECOS PAC ID: 8527411941 Enrollment ID: O20240201000377 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan A Swindell, MPT 7710 S Us Highway 1, Port St Lucie, FL 34952-2320 Ph: (772) 335-5300 | Ethan A Swindell, MPT 7710 S Us Highway 1, Port St Lucie, FL 34952-2320 Ph: (772) 335-5300 |
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 |