| Jessica Marie Kwash, | |
|
11555 Central Pkwy Ste 202, Jacksonville, FL 32224-2693 | |
| (904) 296-4140 | |
| Not Available |
| Full Name | Jessica Marie Kwash |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 11555 Central Pkwy Ste 202, Jacksonville, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316772494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 42321 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Breakaway Physical Therapy, Llc | 8123330222 | 4 |
| Provider Name | Breakaway Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1780077784 PECOS PAC ID: 8123330222 Enrollment ID: O20150702000337 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Marie Kwash, 210 Lasa Dr Apt 111, St Augustine, FL 32084-8755 Ph: (410) 487-5178 | Jessica Marie Kwash, 11555 Central Pkwy Ste 202, Jacksonville, FL 32224-2693 Ph: (904) 296-4140 |
Michelle Senia Antonio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Prudential Dr, Jacksonville, FL 32207 Phone: 904-202-2000 | |
Southeast Orthopedic Specialists, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2627 Riverside Ave, 3rd Floor, Jacksonville, FL 32204 Phone: 904-634-0640 Fax: 904-634-0203 | |
Jessica Dailey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223 Phone: 904-886-3228 | |
Savannah Faulk, PT, DPT, LSVT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207 Phone: 904-477-9287 | |
Dr. Bethany Marie Meyers, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Neuro Pt, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8777 Hampshire Glen Dr S, Jacksonville, FL 32256 Phone: 313-570-4383 | |
Christopher Fuller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-0411 |