Legacy Healthcare Services, Inc - Medicare Physical Therapist in Tampa, FL

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Legacy Healthcare Services, Inc is a medicare enrolled "Physical Therapist" provider in Tampa, Florida. Their current practice location is 17470 Brookside Trace Ct, Tampa, Florida. You can reach out to their office (for appointments etc.) via phone at (813) 443-5042.

Legacy Healthcare Services, Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Legacy Healthcare Services, Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1336535988.

Contact Information

Legacy Healthcare Services, Inc
17470 Brookside Trace Ct,
Tampa, FL 33647-6201
(813) 443-5042
(813) 443-5771

Map and Direction




Healthcare Provider's Profile

Full NameLegacy Healthcare Services, Inc
TypeFacility
SpecialityPhysical Therapist
Location17470 Brookside Trace Ct, Tampa, Florida
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336535988
  • Provider Enumeration Date: 04/10/2015
  • Last Update Date: 05/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2163339722
  • Enrollment ID: O20150805009289

Medical Identifiers

Medical identifiers for Legacy Healthcare Services, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336535988NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary
225X00000XOccupational Therapist (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Legacy Healthcare Services, Inc acts as a billing entity for following providers:
Provider NameNanette M Ignacio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134141419
PECOS PAC ID: 3375527286
Enrollment ID: I20040617000590
Provider NamePaul Lanusse
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487690467
PECOS PAC ID: 3375511579
Enrollment ID: I20040924000069
Provider NameSandra J Leach
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891763785
PECOS PAC ID: 4688608995
Enrollment ID: I20050926000223
Provider NameKassondra L Macy
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1467448258
PECOS PAC ID: 1456442037
Enrollment ID: I20070810000646
Provider NameFrank W Foye
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093823601
PECOS PAC ID: 3779676630
Enrollment ID: I20070907000790
Provider NameWilliam F Brown
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801843040
PECOS PAC ID: 2062438294
Enrollment ID: I20071113000108
Provider NameSonya F Hadley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003095829
PECOS PAC ID: 6800976648
Enrollment ID: I20080104000586
Provider NameCecilia Cruz Mueller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982853677
PECOS PAC ID: 4981751237
Enrollment ID: I20090402000584
Provider NamePrince E Green
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1366562217
PECOS PAC ID: 7416099825
Enrollment ID: I20100123000032
Provider NameJaime L Held
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659416337
PECOS PAC ID: 7416135546
Enrollment ID: I20110621000013
Provider NameTanya M Dalce
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1811185762
PECOS PAC ID: 4082892120
Enrollment ID: I20110621000117
Provider NameMelissa Y Jeffreys
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1851687156
PECOS PAC ID: 9537337936
Enrollment ID: I20110728000473
Provider NameRobin R Craver
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1659676609
PECOS PAC ID: 7517133275
Enrollment ID: I20111229000540
Provider NameKaitlyn M Zielasko
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1962789925
PECOS PAC ID: 3678730306
Enrollment ID: I20120207000610
Provider NameMelissa A Reimert
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1699029314
PECOS PAC ID: 7911131438
Enrollment ID: I20131016000152
Provider NamePremala T Menezes
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1306872403
PECOS PAC ID: 2567470404
Enrollment ID: I20131030001835
Provider NameJason C Ipo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306046560
PECOS PAC ID: 1456574185
Enrollment ID: I20140527000380
Provider NameCandace M Gallo
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1063645604
PECOS PAC ID: 0840512455
Enrollment ID: I20141210002114
Provider NameSocrates Navotas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497982458
PECOS PAC ID: 7012233851
Enrollment ID: I20150313000601
Provider NameLorraine S Hately
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053521443
PECOS PAC ID: 0244546687
Enrollment ID: I20150901000264
Provider NameMichele L Herbert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326429473
PECOS PAC ID: 3577870112
Enrollment ID: I20150915002409
Provider NameLekha J Samuel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528234556
PECOS PAC ID: 6406927938
Enrollment ID: I20151218001187
Provider NameEmily S Maguire
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1114226487
PECOS PAC ID: 9335441252
Enrollment ID: I20160111000292
Provider NameAshley Norman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568876894
PECOS PAC ID: 9931492055
Enrollment ID: I20160727002043
Provider NameMaria M Brooks
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528505716
PECOS PAC ID: 6103102223
Enrollment ID: I20170404000456
Provider NameRobin G Deo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689836462
PECOS PAC ID: 9335291228
Enrollment ID: I20170410001751
Provider NameRachel Carlton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467744839
PECOS PAC ID: 8022256643
Enrollment ID: I20170511002505
Provider NameKristina Shipman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1598978116
PECOS PAC ID: 1153693585
Enrollment ID: I20170821001097
Provider NameVictoria L Richter
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1306368725
PECOS PAC ID: 9032482096
Enrollment ID: I20170913002525
Provider NameJeffrey Allen Davison
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1629500962
PECOS PAC ID: 1658638242
Enrollment ID: I20171207000785
Provider NameJamie A Crowe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053821611
PECOS PAC ID: 0244598993
Enrollment ID: I20171229001527
Provider NameJanice B Delapaz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659413169
PECOS PAC ID: 8820190267
Enrollment ID: I20180124002159
Provider NameJennifer L Grasso
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1821505074
PECOS PAC ID: 7719246404
Enrollment ID: I20180126000995
Provider NameAngela N West
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1093206344
PECOS PAC ID: 2769738707
Enrollment ID: I20180706000151
Provider NameJoseph Anthony Hopp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649764051
PECOS PAC ID: 3375894884
Enrollment ID: I20180921003218
Provider NameNicole L Hall
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669966834
PECOS PAC ID: 4880931534
Enrollment ID: I20190204001063
Provider NameAdrain M Walker
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1427414176
PECOS PAC ID: 0446598072
Enrollment ID: I20190206002437
Provider NameEric D Young
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407037963
PECOS PAC ID: 5991030264
Enrollment ID: I20190709000783
Provider NameDaniel Cummings
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1013219104
PECOS PAC ID: 5294062840
Enrollment ID: I20190806001376
Provider NameBeryl D Licu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225436082
PECOS PAC ID: 4981934999
Enrollment ID: I20190917004239
Provider NameDawna Dawson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275856205
PECOS PAC ID: 9739419144
Enrollment ID: I20190927002070
Provider NameJoan V Tirao
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043450323
PECOS PAC ID: 7416298302
Enrollment ID: I20191015001603
Provider NameLynn Zittel
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1922440742
PECOS PAC ID: 5395177562
Enrollment ID: I20191111000859
Provider NameMichael T Villamor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205471554
PECOS PAC ID: 3274966759
Enrollment ID: I20191216000313
Provider NameMaria Margarita Pappas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922432285
PECOS PAC ID: 1557798030
Enrollment ID: I20200221001532
Provider NameCody S Williams
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1265928329
PECOS PAC ID: 7810324894
Enrollment ID: I20200304001257
Provider NameLisa Alverson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1871872382
PECOS PAC ID: 4880650878
Enrollment ID: I20200323000229
Provider NameJohn O Arlington
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700163144
PECOS PAC ID: 9436325321
Enrollment ID: I20200402003735
Provider NameArianne S Kosman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1962634881
PECOS PAC ID: 1456780899
Enrollment ID: I20200406000968
Provider NameHyo Young Joshua Llopiz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255977641
PECOS PAC ID: 5193146181
Enrollment ID: I20200529000607
Provider NameRachel Bouzy
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1326446303
PECOS PAC ID: 2466873302
Enrollment ID: I20200602001835
Provider NameMary Kathryn Fischer
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1134523392
PECOS PAC ID: 0042633976
Enrollment ID: I20200709003181
Provider NameRegina M Morris
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720638869
PECOS PAC ID: 3274958616
Enrollment ID: I20200803001547
Provider NameAdam Gist
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760786891
PECOS PAC ID: 3678999612
Enrollment ID: I20200820002224
Provider NameAudrey I Matty
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1629209846
PECOS PAC ID: 2062839822
Enrollment ID: I20200826000030
Provider NameOdilia Egbers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598789125
PECOS PAC ID: 1456394188
Enrollment ID: I20200904000490
Provider NameKayla D Wilcox
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578170213
PECOS PAC ID: 2163842311
Enrollment ID: I20201009000625
Provider NameEmily E Nichols
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1801497334
PECOS PAC ID: 8527478155
Enrollment ID: I20201110000549
Provider NameRejennette Ordiz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437419983
PECOS PAC ID: 9830509264
Enrollment ID: I20201113000250
Provider NameBrittany M Marion
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1669083523
PECOS PAC ID: 7719398999
Enrollment ID: I20201118002603
Provider NameKatie L Smith
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1154730497
PECOS PAC ID: 7416369335
Enrollment ID: I20201218000176
Provider NameAriel A Aure
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700057973
PECOS PAC ID: 5092121178
Enrollment ID: I20210316000937
Provider NameGabrielle G Atwater
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1639715162
PECOS PAC ID: 1951727148
Enrollment ID: I20210317001393
Provider NameLetha D Gidharry
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316027055
PECOS PAC ID: 1355512302
Enrollment ID: I20210414001939
Provider NameOtunnal O Roundtree
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1700467529
PECOS PAC ID: 4385052992
Enrollment ID: I20210421000032
Provider NameChristine Sue Sartori
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1467049064
PECOS PAC ID: 3274941620
Enrollment ID: I20210423000231
Provider NameChantel Nicole Yearwood
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770099517
PECOS PAC ID: 0042628299
Enrollment ID: I20210428000832
Provider NameLarry D Smith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104078708
PECOS PAC ID: 0941619241
Enrollment ID: I20210517000644
Provider NameBryce R Cumpston
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1518333020
PECOS PAC ID: 6709295033
Enrollment ID: I20210517001826
Provider NameAnne Marie Amato
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1679156343
PECOS PAC ID: 5395144661
Enrollment ID: I20210519001584
Provider NameTricia Richards
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1336336171
PECOS PAC ID: 4284033077
Enrollment ID: I20210527001615
Provider NameMelissa A Reimert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699029314
PECOS PAC ID: 7911131438
Enrollment ID: I20210601000388
Provider NameTamara J Seay
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1194007468
PECOS PAC ID: 5698174092
Enrollment ID: I20210603002874
Provider NameEmily Herndon
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1407403785
PECOS PAC ID: 5496155392
Enrollment ID: I20210621001983
Provider NameAshley M Katers
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1912480179
PECOS PAC ID: 9638509094
Enrollment ID: I20210623001588
Provider NameLauren N Cumpston
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1316413891
PECOS PAC ID: 2668873464
Enrollment ID: I20210630003696
Provider NameMolly A Corse
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710405659
PECOS PAC ID: 0648671446
Enrollment ID: I20210630003781
Provider NameCourtney Flores
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1447873245
PECOS PAC ID: 4981005501
Enrollment ID: I20210702000016
Provider NameNaomi R Rogne
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1447575774
PECOS PAC ID: 6002218088
Enrollment ID: I20210713003530
Provider NameWilliam B Taylor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861914145
PECOS PAC ID: 9436551322
Enrollment ID: I20210715000230
Provider NameJacob Hurley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497337521
PECOS PAC ID: 7214330695
Enrollment ID: I20210722001608
Provider NameJon A Yarbrough
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326411406
PECOS PAC ID: 9436554821
Enrollment ID: I20210824000326
Provider NameAntonette Clapp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861067977
PECOS PAC ID: 0941605265
Enrollment ID: I20210825002226
Provider NameNicholas L Smith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760941306
PECOS PAC ID: 3971900069
Enrollment ID: I20210915003005
Provider NameSarah Hays
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1316560329
PECOS PAC ID: 1456758929
Enrollment ID: I20210927000391
Provider NameLisa J Taylor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871721621
PECOS PAC ID: 7214251016
Enrollment ID: I20211007001987
Provider NameAngela Dempster Greene
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1528483351
PECOS PAC ID: 5597823302
Enrollment ID: I20211007003020
Provider NameEdwin S Bato
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1376955377
PECOS PAC ID: 4486052255
Enrollment ID: I20211008000053
Provider NamePaul Guyas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275652919
PECOS PAC ID: 9537112180
Enrollment ID: I20211012000841
Provider NameHeidi Rogers
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1235585597
PECOS PAC ID: 1254729536
Enrollment ID: I20211020000335
Provider NameSara J Rasmussen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750057568
PECOS PAC ID: 9335537570
Enrollment ID: I20211021000411
Provider NameBruce Valencia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568941342
PECOS PAC ID: 0446648323
Enrollment ID: I20211026001802
Provider NameJanet L Thorsen
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1295818193
PECOS PAC ID: 8729477153
Enrollment ID: I20211105000520
Provider NameBritney E Knight
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1629606678
PECOS PAC ID: 9931598695
Enrollment ID: I20211118000375
Provider NameOlivia P Magann
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659038537
PECOS PAC ID: 0042600157
Enrollment ID: I20211203002064
Provider NameHeather Kitchens
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1205341898
PECOS PAC ID: 7911398839
Enrollment ID: I20220112002177
Provider NameLisa M Evans
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093074171
PECOS PAC ID: 3577727486
Enrollment ID: I20220119001235
Provider NameIman Raad
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1750032975
PECOS PAC ID: 0648662973
Enrollment ID: I20220119001577
Provider NameCharo Revita
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598426983
PECOS PAC ID: 3971996786
Enrollment ID: I20220131000493
Provider NameLori Broderick
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1295868909
PECOS PAC ID: 0749548618
Enrollment ID: I20220204001461
Provider NameMarina Kurgansky
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1487997946
PECOS PAC ID: 4688952286
Enrollment ID: I20220204001788
Provider NameJordan N Powers
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1851893697
PECOS PAC ID: 3375936727
Enrollment ID: I20220207001390
Provider NameDanielle S Livingstone
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891454625
PECOS PAC ID: 4981097052
Enrollment ID: I20220214000841
Provider NamePriya Mistry
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1255005815
PECOS PAC ID: 2466846639
Enrollment ID: I20220303002773
Provider NameStacie L Martin
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1730419524
PECOS PAC ID: 3870868011
Enrollment ID: I20220319000120
Provider NameElizabeth T Beck
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1831715093
PECOS PAC ID: 0648665091
Enrollment ID: I20220321002647
Provider NameSuzanne Caitlin Ball
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1003434242
PECOS PAC ID: 3274928650
Enrollment ID: I20220322001039
Provider NameKate P Bracken
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1780337246
PECOS PAC ID: 1355737768
Enrollment ID: I20220412002947
Provider NameLynn R Musselman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1194393553
PECOS PAC ID: 6204222490
Enrollment ID: I20220418000286
Provider NameRandi E Railsback
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1871118000
PECOS PAC ID: 9335536283
Enrollment ID: I20220425001515
Provider NameRobert A Bell
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1811560923
PECOS PAC ID: 3375930225
Enrollment ID: I20220425001744
Provider NameAnna F Belson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639765324
PECOS PAC ID: 9133516859
Enrollment ID: I20220428000247
Provider NameTeresa Ryan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336370568
PECOS PAC ID: 7810384534
Enrollment ID: I20220428000419
Provider NameJudith M Tindall
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1497416101
PECOS PAC ID: 5092102319
Enrollment ID: I20220504002686
Provider NameCharlotte D Grant
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1073256749
PECOS PAC ID: 4183011471
Enrollment ID: I20220505001805
Provider NameMary B Walker
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1649915661
PECOS PAC ID: 2163809971
Enrollment ID: I20220517002508
Provider NameKayla M Vengen Calabro
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861000531
PECOS PAC ID: 8224415054
Enrollment ID: I20220517003155
Provider NameAshley S Pride
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1457959538
PECOS PAC ID: 0840677415
Enrollment ID: I20220519002905
Provider NameVivienne C Baker
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1093308660
PECOS PAC ID: 5496162059
Enrollment ID: I20220615002120
Provider NameKylie Odparlik
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578292827
PECOS PAC ID: 1254710601
Enrollment ID: I20220615002540
Provider NameKatherine L Fiaoni
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1023586419
PECOS PAC ID: 9638558554
Enrollment ID: I20220623002921
Provider NameLisa F Kallquist
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1568942993
PECOS PAC ID: 2567709900
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Provider NameHarris D Foster
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1750553509
PECOS PAC ID: 5496134108
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Provider NameFrances C Erisey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144959990
PECOS PAC ID: 0648650168
Enrollment ID: I20220630000669
Provider NameDavid Neal Unkrich
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1174869838
PECOS PAC ID: 6103062476
Enrollment ID: I20220719000604
Provider NameShinette May B Araneta
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114299708
PECOS PAC ID: 9335301597
Enrollment ID: I20220811002234
Provider NameCarly Morgan Traversa
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1265035026
PECOS PAC ID: 2163805417
Enrollment ID: I20220818002050
Provider NameMarie A Sebial
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659553147
PECOS PAC ID: 8123101201
Enrollment ID: I20220825002424
Provider NameShiloh Rae Taylor
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1942953484
PECOS PAC ID: 4880078443
Enrollment ID: I20220830004586
Provider NameAmy N Stowe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629301650
PECOS PAC ID: 4587049887
Enrollment ID: I20220922003616
Provider NameIrene E Gaz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548501729
PECOS PAC ID: 3476938697
Enrollment ID: I20220923000966
Provider NameBlair A Martin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104553338
PECOS PAC ID: 0648656876
Enrollment ID: I20220926002016
Provider NameAllison L Malone
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1669642195
PECOS PAC ID: 1658757737
Enrollment ID: I20220927001092
Provider NameJared Reites
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912294232
PECOS PAC ID: 0143606269
Enrollment ID: I20220927002848
Provider NameSarah Flora G Ricafrente
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902369150
PECOS PAC ID: 8123431004
Enrollment ID: I20221003001759
Provider NameAnna Tuohy
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1205420932
PECOS PAC ID: 3971989419
Enrollment ID: I20221006000591
Provider NameVanessa M Laurent
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1417447004
PECOS PAC ID: 8325424666
Enrollment ID: I20221010002910
Provider NameMargaret E Hanlon
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1700284304
PECOS PAC ID: 0143696039
Enrollment ID: I20221018001430
Provider NameLisa Quinnan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205953668
PECOS PAC ID: 0547407454
Enrollment ID: I20221020000729
Provider NameMaria Cristina Antonio Garcia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245952365
PECOS PAC ID: 1254642010
Enrollment ID: I20221020003456
Provider NameJan J Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952425662
PECOS PAC ID: 3870749187
Enrollment ID: I20221031000002
Provider NamePaige A Chiurco
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1538889779
PECOS PAC ID: 6002283215
Enrollment ID: I20221101000925
Provider NameJulie L Kaplan
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1821735796
PECOS PAC ID: 0840667911
Enrollment ID: I20221102000683
Provider NameKaren A Drapeau
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1609201755
PECOS PAC ID: 0446627541
Enrollment ID: I20221102001802
Provider NameTanise S Fenelon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114243458
PECOS PAC ID: 3476920588
Enrollment ID: I20221102002176
Provider NameJohn Michael D Cruz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891289401
PECOS PAC ID: 3274901327
Enrollment ID: I20221121001309
Provider NameMichelle S Reid
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1902349756
PECOS PAC ID: 1759759558
Enrollment ID: I20221129002395
Provider NameRandall I Depasquale
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1801503552
PECOS PAC ID: 7315316882
Enrollment ID: I20221206002083
Provider NameObaidah H Fariz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548908841
PECOS PAC ID: 1153790530
Enrollment ID: I20221206002890
Provider NameMayo Manahan Manuel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164944708
PECOS PAC ID: 4284003542
Enrollment ID: I20221207003190
Provider NameSabrina L Shipman
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1528476124
PECOS PAC ID: 9335518042
Enrollment ID: I20221219001969
Provider NameYaneh S Bendross
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1689822025
PECOS PAC ID: 4486024908
Enrollment ID: I20221228000036
Provider NameAnna R Wilson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1720714199
PECOS PAC ID: 2163892696
Enrollment ID: I20221228000806
Provider NameJean Gagliotti
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1487886677
PECOS PAC ID: 4981074440
Enrollment ID: I20221228001796
Provider NameAshley M Wermers
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1205426301
PECOS PAC ID: 0042680407
Enrollment ID: I20221228002504
Provider NameErin S Hager
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1710608237
PECOS PAC ID: 0143690438
Enrollment ID: I20230103000309
Provider NameDonna M Soltau-chambers
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1417666488
PECOS PAC ID: 5799155966
Enrollment ID: I20230104001176
Provider NameBeverly Patten
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265144620
PECOS PAC ID: 9436529518
Enrollment ID: I20230106000069
Provider NameTeena T Joseph
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982957692
PECOS PAC ID: 7315317203
Enrollment ID: I20230111000547
Provider NameLauren M Godfrey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134850621
PECOS PAC ID: 9931579828
Enrollment ID: I20230111000636
Provider NameMonique F Fuentes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376799684
PECOS PAC ID: 4284004094
Enrollment ID: I20230111002457
Provider NameJamie M Walker
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1659875318
PECOS PAC ID: 0840661443
Enrollment ID: I20230118001918
Provider NameDawn Fele
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1659082709
PECOS PAC ID: 0749651297
Enrollment ID: I20230120002056
Provider NameBrianna N Jenkins
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154030245
PECOS PAC ID: 7416328620
Enrollment ID: I20230126001966
Provider NameDrusilla D Lovecky
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1861104697
PECOS PAC ID: 9234501792
Enrollment ID: I20230209000429
Provider NameMelanie Ann Mollard
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1952941932
PECOS PAC ID: 2860864121
Enrollment ID: I20230214002717
Provider NameAntonio Galan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144372293
PECOS PAC ID: 6608833405
Enrollment ID: I20230217002761
Provider NameMark Waller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801525381
PECOS PAC ID: 9032582689
Enrollment ID: I20230301000540
Provider NameMary-jo Mohl
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851562912
PECOS PAC ID: 8527431022
Enrollment ID: I20230303001079
Provider NameKatherine K Daniels
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1568037968
PECOS PAC ID: 6204209679
Enrollment ID: I20230306001296
Provider NameChristine A Torgusen
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1982300448
PECOS PAC ID: 7911371638
Enrollment ID: I20230321001120
Provider NameEmily A Mcdonough
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1679284178
PECOS PAC ID: 4688048291
Enrollment ID: I20230322002036
Provider NameAllison R.f. Wood
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1265722524
PECOS PAC ID: 4688048028
Enrollment ID: I20230324002733
Provider NameKelly Jackson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1720789688
PECOS PAC ID: 3274908538
Enrollment ID: I20230419000765
Provider NameRuth Ann Brooks
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831213610
PECOS PAC ID: 5193940427
Enrollment ID: I20230425002988
Provider NamePaige Wilson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1235706540
PECOS PAC ID: 8325403116
Enrollment ID: I20230501001402
Provider NameSara A Nurre
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1619530201
PECOS PAC ID: 1052776416
Enrollment ID: I20230508002910
Provider NameKathryn E Drumheller
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1023710738
PECOS PAC ID: 5799141677
Enrollment ID: I20230518002603
Provider NameAlexandra T Bueno
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1194436055
PECOS PAC ID: 1254797905
Enrollment ID: I20230522003519
Provider NameAna Rica Mondia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043555030
PECOS PAC ID: 9133585656
Enrollment ID: I20230525000627
Provider NameRachel A Brittain-shipley
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1780634030
PECOS PAC ID: 7618334111
Enrollment ID: I20230526000820
Provider NameJasmine Monique Thomas
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1528520830
PECOS PAC ID: 9436516879
Enrollment ID: I20230531000862
Provider NameCourtney A Sutherland
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639726177
PECOS PAC ID: 4385001684
Enrollment ID: I20230531003716
Provider NameJasmine Winters
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912668062
PECOS PAC ID: 7416314604
Enrollment ID: I20230602000968
Provider NameSiobhan Maire Veronica Smith
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1073202024
PECOS PAC ID: 0042677627
Enrollment ID: I20230613002730
Provider NameChristina Barbera
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1740975762
PECOS PAC ID: 5193183788
Enrollment ID: I20230613003721
Provider NameKaren Mary Morris
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1508556887
PECOS PAC ID: 9133587710
Enrollment ID: I20230614003158
Provider NameFarha Elizabeth Parker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215492012
PECOS PAC ID: 7517325590
Enrollment ID: I20230623000488
Provider NameBrendan White
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598312142
PECOS PAC ID: 2860850880
Enrollment ID: I20230623002053
Provider NameTrevor E Kimball
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760959761
PECOS PAC ID: 6608234372
Enrollment ID: I20230628001711
Provider NameKristine Anna Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104593730
PECOS PAC ID: 2163881871
Enrollment ID: I20230628003384
Provider NameFranca Bentivegna
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1407115637
PECOS PAC ID: 8022477686
Enrollment ID: I20230629004026
Provider NameSally Rankin
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1831882661
PECOS PAC ID: 9335508795
Enrollment ID: I20230702000025
Provider NameNora Perfetto
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1407247851
PECOS PAC ID: 9436518875
Enrollment ID: I20230704000149
Provider NameKathryn Duval
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1376051854
PECOS PAC ID: 5092174151
Enrollment ID: I20230707000403
Provider NameMikeisha Mangham
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1205584067
PECOS PAC ID: 8820458086
Enrollment ID: I20230719002103
Provider NameTracy Lee Hall
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1356489090
PECOS PAC ID: 9234599143
Enrollment ID: I20230724001258
Provider NameSamantha Leigh Talley
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1992272066
PECOS PAC ID: 7315308996
Enrollment ID: I20230728002318
Provider NameCheryl Speight Young
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1992947428
PECOS PAC ID: 9638531619
Enrollment ID: I20230809000663
Provider NameNicole Batista
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1528419900
PECOS PAC ID: 5496117392
Enrollment ID: I20230809001783
Provider NameMeredith Decastro
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376024794
PECOS PAC ID: 8921460775
Enrollment ID: I20230811000068
Provider NameKari L Bauer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912029638
PECOS PAC ID: 4880056597
Enrollment ID: I20230811003103
Provider NameJacob A Taylor
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1689299695
PECOS PAC ID: 5395108310
Enrollment ID: I20230823004228
Provider NameAlicia Mary Clark
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1497434740
PECOS PAC ID: 9931562972
Enrollment ID: I20230824000435
Provider NameBenee Benardo
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1528748332
PECOS PAC ID: 9436512332
Enrollment ID: I20230824003540
Provider NameClay Smitherman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1255832911
PECOS PAC ID: 4981067295
Enrollment ID: I20230901002086
Provider NameAshley Nicole Quillen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1831497262
PECOS PAC ID: 7113380346
Enrollment ID: I20230905003965
Provider NameAngela Dianne Turner
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1265855977
PECOS PAC ID: 0840654604
Enrollment ID: I20230912002409
Provider NameVictoria K Cruce
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1003594847
PECOS PAC ID: 8224492921
Enrollment ID: I20230914001804
Provider NameMadeline Kirelawich
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1245732692
PECOS PAC ID: 0648624759
Enrollment ID: I20230922002853
Provider NameMichelle Pahl
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538569967
PECOS PAC ID: 4789038753
Enrollment ID: I20230925001731
Provider NameMikala Hunt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114702107
PECOS PAC ID: 5890149546
Enrollment ID: I20230928001805
Provider NameKristina Gill
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245762988
PECOS PAC ID: 7214381961
Enrollment ID: I20230928001931
Provider NameKathleen Marie Frank
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1508009184
PECOS PAC ID: 3870948086
Enrollment ID: I20231009000703
Provider NamePatricia Campbell Burks
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1235917519
PECOS PAC ID: 1355796574
Enrollment ID: I20231009000984
Provider NameAlexis Gonzalez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134733108
PECOS PAC ID: 1658799101
Enrollment ID: I20231010002913
Provider NamePamela Gail Miller
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1871373266
PECOS PAC ID: 4981059920
Enrollment ID: I20231011003849
Provider NameVeronica Garcia Nieves
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1477859718
PECOS PAC ID: 5395190227
Enrollment ID: I20231013000045
Provider NameHeike Pt Reeves
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649447970
PECOS PAC ID: 6608222138
Enrollment ID: I20231019002317
Provider NameCatherine A Ramos
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1295348001
PECOS PAC ID: 2466808308
Enrollment ID: I20231027003013
Provider NameSandy M Pruneti
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1356852560
PECOS PAC ID: 6002262623
Enrollment ID: I20231101003769
Provider NameTina Luree Schwind
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568997971
PECOS PAC ID: 4385715820
Enrollment ID: I20231113001035
Provider NamePatrick Dennis Lavallie
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1568927481
PECOS PAC ID: 1759738537
Enrollment ID: I20231116000472
Provider NameKassandra Martin
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1336912807
PECOS PAC ID: 1850749326
Enrollment ID: I20231121002840
Provider NameJulissa Cintron
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1427820869
PECOS PAC ID: 8123476405
Enrollment ID: I20231127003064
Provider NameEmma Torpey
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1700658242
PECOS PAC ID: 0042668360
Enrollment ID: I20231128000900
Provider NameDeborah Tremaine
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1821326877
PECOS PAC ID: 8022466341
Enrollment ID: I20231128001007
Provider NameMatthew Comer
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1336613769
PECOS PAC ID: 7810345063
Enrollment ID: I20231128002406
Provider NameKristina Romero
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1205255023
PECOS PAC ID: 6204284367
Enrollment ID: I20231129003645
Provider NameRaetta R Landino
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1912312513
PECOS PAC ID: 3476985565
Enrollment ID: I20231213000745
Provider NameDevon Sweeney
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1235551961
PECOS PAC ID: 1658720669
Enrollment ID: I20231214003831
Provider NameJennifer King
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1376315796
PECOS PAC ID: 6305296153
Enrollment ID: I20231220001942
Provider NameJeremy Nathan Wellauer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427521632
PECOS PAC ID: 0648422113
Enrollment ID: I20231220002948
Provider NameMakayla Emanuele
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1386280766
PECOS PAC ID: 9739530767
Enrollment ID: I20240103004815
Provider NameValerie Louise Depury
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1659146207
PECOS PAC ID: 6002267887
Enrollment ID: I20240105001170
Provider NameMelanie Tomlin Reyna
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1386413037
PECOS PAC ID: 3072965615
Enrollment ID: I20240118003002
Provider NameTracey Ann Wing
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1447417662
PECOS PAC ID: 7719320142
Enrollment ID: I20240213001105
Provider NameMichael Zambelli
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1619153509
PECOS PAC ID: 5698118057
Enrollment ID: I20240213002478
Provider NameLisa Fetzer
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1760244362
PECOS PAC ID: 8123462801
Enrollment ID: I20240221002204
Provider NameDoris Vega Villavicencio
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1164494472
PECOS PAC ID: 6709804941
Enrollment ID: I20240221003920
Provider NameAngelica Castro Mano
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780972216
PECOS PAC ID: 2668631904
Enrollment ID: I20240222002658
Provider NameSiarra Harrington
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689148884
PECOS PAC ID: 6507201910
Enrollment ID: I20240226001110
Provider NameMelissa B Spruce
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1295974947
PECOS PAC ID: 1658717319
Enrollment ID: I20240315003106

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Legacy Healthcare Services, Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Legacy Healthcare Services, Inc
110 Horizon Dr Ste 310,
Raleigh, NC 27615-4926

Ph: (919) 424-5080		Legacy Healthcare Services, Inc
17470 Brookside Trace Ct,
Tampa, FL 33647-6201

Ph: (813) 443-5042

Reviews and Comments


Physical Therapist in Tampa, FL

Mary Cathleen Brooke, PHYSICAL THERAPIST
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 12425 Race Track Rd, Ste. 100, Tampa, FL 33626
Phone: 866-568-9068    Fax: 866-360-5916
Megan M Heintz, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 13330 Usf Laurel Drive, Tampa, FL 33612
Phone: 813-974-8613    Fax: 813-974-8614
Mrs. Jennifer Michelle Terry, PHYSICAL THERAPIST
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 11812 N 56th St, Tampa, FL 33617
Phone: 813-857-7800    Fax: 813-988-5837
Eleanor Innocent, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3100 E Fletcher Ave, Tampa, FL 33613
Phone: 813-615-7200    
Sara Brett, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 600 N West Shore Blvd, Suite 600, Tampa, FL 33609
Phone: 407-833-8815    
Kristen Webbers,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609
Phone: 866-839-6979    
Sophia Prassas,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609
Phone: 866-839-6979    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.