| Liam Coakley, | |
|
1076 E Brandon Blvd Ste 106, Brandon, FL 33511-5534 | |
| (813) 413-5513 | |
| Not Available |
| Full Name | Liam Coakley |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 6 Years |
| Location | 1076 E Brandon Blvd Ste 106, Brandon, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770176026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT36887 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optimal Performance And Physical Therapies-brandon Llc | 7214104587 | 7 |
| Provider Name | Optimal Performance And Physical Therapies-brandon Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1407132632 PECOS PAC ID: 7214104587 Enrollment ID: O20120127000322 |
| Provider Name | Florida Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1114542032 PECOS PAC ID: 3779991559 Enrollment ID: O20210415001126 |
| Provider Name | Health First Privia Medical Group, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700649043 PECOS PAC ID: 3173965993 Enrollment ID: O20240524002147 |
| Mailing Address | Practice Location Address |
|---|---|
| Liam Coakley, 21756 State Road 54 Ste 102, Lutz, FL 33549-2905 Ph: (727) 475-5540 | Liam Coakley, 1076 E Brandon Blvd Ste 106, Brandon, FL 33511-5534 Ph: (813) 413-5513 |
Mr. Ronney Etienne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 E Bloomingdale Ave, Brandon, FL 33511 Phone: 813-655-3342 Fax: 813-653-0894 | |
Jennifer Bishop, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1056 E Brandon Blvd, Brandon, FL 33511 Phone: 813-413-5513 Fax: 813-681-8300 | |
Tracy A Hennemann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 E Bloomingdale Ave, Brandon, FL 33511 Phone: 891-365-5334 Fax: 813-653-0894 | |
Hillary Hixon, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1076 E Brandon Blvd Ste 106, Brandon, FL 33511 Phone: 813-413-5513 | |
Mr. Randall Walter Grossglass, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 134 E Bloomingdale Ave, Brandon, FL 33511 Phone: 813-681-1627 Fax: 813-684-1356 | |
Marc Boults, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 602 Vonderburg Dr, Suite 201, Brandon, FL 33511 Phone: 863-617-9400 Fax: 863-688-9858 | |
Deborah Raplee, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1056 E Brandon Blvd, Brandon, FL 33511 Phone: 813-413-5513 Fax: 813-681-8300 |