| Jason Robert Bach-randolph, | |
|
530 E Olympia Ave Ste 112, Punta Gorda, FL 33950-3838 | |
| (941) 575-7300 | |
| (941) 505-7301 |
| Full Name | Jason Robert Bach-randolph |
|---|---|
| Gender | Male |
| Speciality | Physical Therapy |
| Experience | 5 Years |
| Location | 530 E Olympia Ave Ste 112, Punta Gorda, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780239392 | NPI | - | NPPES |
| PT34952 | Other | FL | PT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT34952 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fitness Quest Punta Gorda Llc | 0648237073 | 3 |
| Provider Name | Fitness Quest Punta Gorda Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1043220817 PECOS PAC ID: 0648237073 Enrollment ID: O20041216000730 |
| Provider Name | Fitness Quest - North Port Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1639257405 PECOS PAC ID: 4486759842 Enrollment ID: O20070413000538 |
| Provider Name | Fitness Quest-port Charlotte Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679761696 PECOS PAC ID: 2264517234 Enrollment ID: O20080314000451 |
| Provider Name | Fitness Quest - Bradenton Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1528219631 PECOS PAC ID: 5698837490 Enrollment ID: O20090408000577 |
| Provider Name | Fq0014 |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1467079368 PECOS PAC ID: 9931528189 Enrollment ID: O20201007002381 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Robert Bach-randolph, 530 E Olympia Ave Ste 112, Punta Gorda, FL 33950-3838 Ph: (941) 575-7300 | Jason Robert Bach-randolph, 530 E Olympia Ave Ste 112, Punta Gorda, FL 33950-3838 Ph: (941) 575-7300 |
Mary Elizabeth Naylor, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3400 Colony Ct, Punta Gorda, FL 33950 Phone: 941-548-6131 Fax: 941-347-8120 | |
Khaled Temraz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 Nesbit St, Suite 112, Punta Gorda, FL 33950 Phone: 941-639-8273 | |
Dr. Joseph Bryan Lipana, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 612 Royal Poinciana, Punta Gorda, FL 33955 Phone: 941-286-6068 | |
Beyond Care Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2257 Nuremberg Blvd, Punta Gorda, FL 33983 Phone: 941-255-1891 Fax: 941-255-1891 | |
Teresa Martin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 E Olympia Ave, Suite 212, Punta Gorda, FL 33950 Phone: 941-255-5940 Fax: 941-255-5943 | |
Lawrence Martin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 E Olympia Ave, Suite 212, Punta Gorda, FL 33950 Phone: 941-255-5940 Fax: 941-255-5943 | |
Randy Dale Casey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 Magnolia Way, Punta Gorda, FL 33950 Phone: 941-661-8062 |