| Kendra Louise Bloomer, | |
|
3781 S Nova Rd Ste B, Port Orange, FL 32129-4285 | |
| (386) 338-0633 | |
| Not Available |
| Full Name | Kendra Louise Bloomer |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 10 Years |
| Location | 3781 S Nova Rd Ste B, Port Orange, 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 |
|---|---|---|---|
| 1831584465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT30376 (Florida) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | AL4091 (Florida) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastline Physical Therapy Llc | 0446798136 | 3 |
| Provider Name | Professional Physical Therapy And Associates Ltd Co |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1255415550 PECOS PAC ID: 4688570328 Enrollment ID: O20031211000864 |
| Provider Name | Coastline Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174380422 PECOS PAC ID: 0446798136 Enrollment ID: O20240813001285 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendra Louise Bloomer, 3781 S Nova Rd Ste B, Port Orange, FL 32129-4285 Ph: (386) 338-0633 | Kendra Louise Bloomer, 3781 S Nova Rd Ste B, Port Orange, FL 32129-4285 Ph: (386) 338-0633 |
Erin Kwiatkowski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Port Orange, FL 32128 Phone: 888-265-2680 | |
Mr. Jack Verhees, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4904 S Clyde Morris Blvd, Ste D2, Port Orange, FL 32129 Phone: 386-898-0908 Fax: 386-898-0242 | |
Leonard Kim, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1402 Dunlawton Ave Ste 4d, Port Orange, FL 32127 Phone: 386-671-2626 | |
Amanda Owen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-944-7202 | |
Megan Christiansen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 800-330-7711 | |
Spencer Swift, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-944-7202 | |
Ratree Lertkitcharoenpon, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4649 Clyde Morris Blvd Unit 607, Port Orange, FL 32129 Phone: 386-256-3860 |