| Madison Archer, PT, DPT | |
|
4020 Park St N Ste 101, St Petersburg, FL 33709-4030 | |
| (727) 388-4688 | |
| Not Available |
| Full Name | Madison Archer |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 1 Years |
| Location | 4020 Park St N Ste 101, St Petersburg, 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 |
|---|---|---|---|
| 1639055577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305217269 (Virginia) | Secondary |
| 225100000X | Physical Therapist | PT44907 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Best Life Physical Therapy And Sports Medicine | 1355500240 | 11 |
| Provider Name | Best Life Physical Therapy and Sports Medicine |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1619240033 PECOS PAC ID: 1355500240 Enrollment ID: O20120426000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Archer, PT, DPT 2404 Potters Rd Ste 400, Virginia Beach, VA 23454-4335 Ph: Not Available | Madison Archer, PT, DPT 4020 Park St N Ste 101, St Petersburg, FL 33709-4030 Ph: (727) 388-4688 |
Purpose Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 1212 66th St N Ste 1214, St Petersburg, FL 33710 Phone: 417-315-5577 Fax: 727-290-4917 |
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