| Functionally Limitless, Llc | |
|
2425 N Courtenay Pkwy Ste 103, Merritt Island, FL 32953-4181 | |
| (321) 795-4213 | |
| (844) 210-9901 |
| Full Name | Functionally Limitless, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2425 N Courtenay Pkwy Ste 103, Merritt Island, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689166571 | NPI | - | NPPES |
| 726167 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT26481 (Florida) | Primary |
| Provider Name | Travis Boersma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790068021 PECOS PAC ID: 8325215403 Enrollment ID: I20120112000205 |
| Mailing Address | Practice Location Address |
|---|---|
| Functionally Limitless, Llc 2585 Lynwood Pl, Merritt Island, FL 32953-4163 Ph: (954) 325-9395 | Functionally Limitless, Llc 2425 N Courtenay Pkwy Ste 103, Merritt Island, FL 32953-4181 Ph: (321) 795-4213 |
Dr. Sky Knott, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1395 N Courtenay Pkwy, Merritt Island, FL 32953 Phone: 321-986-8812 | |
Caitlin Marie Tomlin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1395 N Courtenay Pkwy Ste 102, Merritt Island, FL 32953 Phone: 321-986-8812 Fax: 321-986-8814 | |
Alexis Brooke Weber, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1395 N Courtenay Pkwy Ste 102, Merritt Island, FL 32953 Phone: 321-986-8812 Fax: 321-986-8814 | |
Ms. Elsa Marie Clark, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 220 S Courtenay Pkwy Ste B, Merritt Island, FL 32952 Phone: 321-434-5820 | |
Dr. Colton C Clary, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1465 James Ave, Merritt Island, FL 32952 Phone: 321-536-9555 | |
Monica James, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 N Sykes Creek Pkwy, Ste 300, Merritt Island, FL 32953 Phone: 321-459-0303 | |
Mackenzie Lane, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1395 N Courtenay Pkwy Ste 102, Merritt Island, FL 32953 Phone: 321-986-8812 Fax: 321-327-2130 |