| Legendary Physical Therapy Llc | |
|
410 N Palafox St, Pensacola, FL 32501-3919 | |
| (850) 332-7681 | |
| (850) 512-1188 |
| Full Name | Legendary Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 410 N Palafox St, Pensacola, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578089983 | NPI | - | NPPES |
| 022219700 | Medicaid | FL | |
| 1568589588 | Other | FL | LOUIE WATKINS III NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Louie Watkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568589588 PECOS PAC ID: 8820181605 Enrollment ID: I20070910000988 |
| Provider Name | Adam Gist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760786891 PECOS PAC ID: 3678999612 Enrollment ID: I20200820002224 |
| Provider Name | Micaela Mendietta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487373544 PECOS PAC ID: 2961858550 Enrollment ID: I20241125002720 |
| Mailing Address | Practice Location Address |
|---|---|
| Legendary Physical Therapy Llc Po Box 6568, Pensacola, FL 32503-0568 Ph: (850) 478-1312 | Legendary Physical Therapy Llc 410 N Palafox St, Pensacola, FL 32501-3919 Ph: (850) 332-7681 |
Amy Farro, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 W Moreno St, Pensacola, FL 32501 Phone: 850-434-4920 | |
Dr. Aaron Jamal Williams, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 209 S A St, Pensacola, FL 32502 Phone: 850-533-0266 | |
Jodi Dyer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10040 Hillview Dr, Pensacola, FL 32514 Phone: 910-818-4240 | |
Hannah Kristene Robbins, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8991 University Pkwy, Pensacola, FL 32514 Phone: 646-591-4534 | |
Dr. Kelly Rhoden, PT, MS, DPT, LAT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6000 W Highway 98, Pensacola, FL 32512 Phone: 850-452-6326 | |
Alan Davidson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7030 Pine Forest Rd, Pensacola, FL 32526 Phone: 850-944-5360 | |
Talia Claire Trematerra, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8333 N Davis Hwy, Pensacola, FL 32514 Phone: 850-969-2600 |