| Lisa Hagerty, DPT | |
|
465 S Lawrence Blvd, Keystone Heights, FL 32656-9222 | |
| (352) 473-7560 | |
| Not Available |
| Full Name | Lisa Hagerty |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 465 S Lawrence Blvd, Keystone Heights, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619353588 | NPI | - | NPPES |
| PT 30351 | Other | FL | STATE OF FLORIDA PHYSICAL THERAPIST LICENSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 30351 (Florida) | Primary |
| Provider Name | Genesis Health Development Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033154992 PECOS PAC ID: 4183538614 Enrollment ID: O20140429000503 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Hagerty, DPT 465 S Lawrence Blvd, Keystone Heights, FL 32656-9222 Ph: (352) 473-7560 | Lisa Hagerty, DPT 465 S Lawrence Blvd, Keystone Heights, FL 32656-9222 Ph: (352) 473-7560 |
Marissa Catlin-evans, MPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 7237 Stricklin Ln, Keystone Heights, FL 32656 Phone: 352-359-2299 Fax: 352-475-5796 | |
Mrs. Angela Stanley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 465 S Lawrence Blvd, Keystone Heights, FL 32656 Phone: 352-473-7560 Fax: 352-473-7566 | |
Mr. Dustin Clay, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 465 S Lawrence Blvd, Keystone Heights, FL 32656 Phone: 352-473-7560 Fax: 352-473-7566 | |
Lake Area Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 465 S Lawrence Blvd, Keystone Heights, FL 32656 Phone: 352-473-7560 Fax: 352-473-7566 | |
Lauren Ashlee Hughes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 465 S. Lawrence Blvd., Keystone Heights, FL 32656 Phone: 352-473-7560 Fax: 352-473-7566 | |
Sidney Srivibul, Physical Therapist Medicare: Medicare Enrolled Practice Location: 465 S Lawrence Blvd, Keystone Heights, FL 32656 Phone: 352-473-7560 |