| Harbor City Physical Therapy, Pa | |
|
307 E New Haven Ave, Suite 2, Melbourne, FL 32901-4576 | |
| (321) 953-3991 | |
| (321) 953-3951 |
| Full Name | Harbor City Physical Therapy, Pa |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 307 E New Haven Ave, Melbourne, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033243936 | NPI | - | NPPES |
| Y918X | Other | FL | BCBS PROVIDER NUMBER |
| 331012 | Other | FL | WELLCARE PROVIDER NUMBER |
| 891232700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | FLPT18001 (Florida) | Primary |
| Provider Name | David L Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669415162 PECOS PAC ID: 5496791493 Enrollment ID: I20050629001199 |
| Provider Name | Steven Cohen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609910660 PECOS PAC ID: 4082645734 Enrollment ID: I20050823000640 |
| Provider Name | Lawrence M Shneyder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285607929 PECOS PAC ID: 8325066780 Enrollment ID: I20060106000048 |
| Provider Name | Ted Ryan Landgraf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285857904 PECOS PAC ID: 1850478108 Enrollment ID: I20080410000424 |
| Provider Name | Matthew K Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083696884 PECOS PAC ID: 2264335017 Enrollment ID: I20101104001035 |
| Provider Name | Jessica Rassmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093191371 PECOS PAC ID: 8527375120 Enrollment ID: I20150915001063 |
| Provider Name | Brandon Ne Van Kempen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629449673 PECOS PAC ID: 4082910617 Enrollment ID: I20160308002692 |
| Provider Name | Forest Mcdowell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871603910 PECOS PAC ID: 8628346210 Enrollment ID: I20170623000633 |
| Provider Name | Nicole Sabado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811209372 PECOS PAC ID: 9931464138 Enrollment ID: I20180517000366 |
| Provider Name | Mackenzie A Lane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144793167 PECOS PAC ID: 3274874326 Enrollment ID: I20190418000474 |
| Provider Name | Kimberly Yancey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619239746 PECOS PAC ID: 9234561119 Enrollment ID: I20191114001203 |
| Provider Name | Maria Regina Camberos Rios |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841804978 PECOS PAC ID: 9830517242 Enrollment ID: I20200917000833 |
| Provider Name | Dayana Karen Esteves Da Silva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356915920 PECOS PAC ID: 0941600910 Enrollment ID: I20210611002683 |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor City Physical Therapy, Pa 307 E New Haven Ave, Suite 2, Melbourne, FL 32901-4576 Ph: (321) 953-3991 | Harbor City Physical Therapy, Pa 307 E New Haven Ave, Suite 2, Melbourne, FL 32901-4576 Ph: (321) 953-3991 |
Richard Thomas King V, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 494 N Harbor City Blvd, Melbourne, FL 32935 Phone: 321-610-7978 Fax: 321-610-7979 | |
Abigail Dunn Regan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3536 Peninsula Cir, Melbourne, FL 32940 Phone: 321-342-1175 | |
Analisa Sablay, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3040 N Wickham Rd, Suite 7, Melbourne, FL 32935 Phone: 321-255-9546 Fax: 321-255-4690 | |
Mathew Simon Kronman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1698 W Hibiscus Blvd, Suite A, Melbourne, FL 32901 Phone: 321-768-6119 Fax: 321-768-1710 | |
Daryl Clayton Jacobs Ii, DPT, MTC, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8045 Spyglass Hill Rd, Suite 103, Melbourne, FL 32940 Phone: 321-757-5515 | |
Roberta Neves, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4450 W Eau Gallie Blvd, Melbourne, FL 32934 Phone: 321-255-6627 | |
Stacie Jean Razzino, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1300 Bedford Dr, Suite 105, Melbourne, FL 32940 Phone: 321-242-7575 |