| Kelly Hadley, PT | |
|
11162 Sw Wyndham Way, Port St Lucie, FL 34987-2752 | |
| (772) 801-9953 | |
| (855) 894-7272 |
| Full Name | Kelly Hadley |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 11162 Sw Wyndham Way, Port St Lucie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962722777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT24258 (Florida) | Primary |
| Provider Name | Premier Physical Therapy Sport Medicine Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649380064 PECOS PAC ID: 3173413549 Enrollment ID: O20040318000876 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Hadley, PT 11162 Sw Wyndham Way, Port St Lucie, FL 34987-2752 Ph: (772) 801-9953 | Kelly Hadley, PT 11162 Sw Wyndham Way, Port St Lucie, FL 34987-2752 Ph: (772) 801-9953 |
Elaine M Anderson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2485 Se Sidonia St, Port St Lucie, FL 34952 Phone: 772-337-2226 | |
Mrs. Lisette Longo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9077 S Federal Hwy, Port St Lucie, FL 34952 Phone: 772-335-4770 Fax: 772-335-4133 | |
Paul Phillip Burgener, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 156 Nw California Blvd, Port St Lucie, FL 34986 Phone: 772-871-7170 | |
Ms. Jody Rochelle Martin, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1867 Sw Jamesport Dr, Port St Lucie, FL 34953 Phone: 917-892-5187 | |
Tatiana C Madonia, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2042 Sw Providence Pl, Port St Lucie, FL 34953 Phone: 305-778-0516 | |
Alexander's Healing Hands, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 479 Nw Prima Vista Blvd, Suite A, Port St Lucie, FL 34983 Phone: 772-408-4848 Fax: 772-408-0978 | |
Mr. Edward Jacobo Morone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1680 Se Lyngate Dr Ste 203, Port St Lucie, FL 34952 Phone: 772-773-7055 |