| Dr Janessie Ibanez, | |
|
8717 Nw 117th St, Hialeah Gardens, FL 33018-1913 | |
| (305) 546-2983 | |
| Not Available |
| Full Name | Dr Janessie Ibanez |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 8717 Nw 117th St, Hialeah Gardens, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518445584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT33850 (Florida) | Primary |
| Provider Name | Peak Performance Rehabilitation, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356660690 PECOS PAC ID: 8921282690 Enrollment ID: O20110405000870 |
| Provider Name | Usa Sports Therapy South Miami Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154815926 PECOS PAC ID: 8123368156 Enrollment ID: O20190328002636 |
| Provider Name | Usa Sports Medicine Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639700370 PECOS PAC ID: 2062828775 Enrollment ID: O20210304000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Janessie Ibanez, 7975 Nw 154th St Ste 470, Miami Lakes, FL 33016-5864 Ph: (305) 546-2983 | Dr Janessie Ibanez, 8717 Nw 117th St, Hialeah Gardens, FL 33018-1913 Ph: (305) 546-2983 |
Luis Fernando Roa, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11300 Nw 87th Ct, Suite 157, Hialeah Gardens, FL 33018 Phone: 786-762-3915 Fax: 786-762-3916 | |
Miguel Angel Lescano Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10000 Nw 80th Ct Apt 2520, Hialeah Gardens, FL 33016 Phone: 786-566-3345 |