| Matthew D Fehniger, PT | |
|
1577 Roberts Dr Ste 320, Credentialing Department, Jacksonville Beach, FL 32250-3266 | |
| (904) 247-3324 | |
| (904) 247-3926 |
| Full Name | Matthew D Fehniger |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1577 Roberts Dr Ste 320, Jacksonville Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689867889 | NPI | - | NPPES |
| P00420320 | Other | FL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT23513 (Florida) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871972653 PECOS PAC ID: 6507832573 Enrollment ID: O20150723009037 |
| 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 |
|---|---|
| Matthew D Fehniger, PT Po Box 40767, Credentialing Department, Jacksonville, FL 32203-0767 Ph: (904) 376-3707 | Matthew D Fehniger, PT 1577 Roberts Dr Ste 320, Credentialing Department, Jacksonville Beach, FL 32250-3266 Ph: (904) 247-3324 |
Healthwave Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 Penman Rd Ste C, Jacksonville Beach, FL 32250 Phone: 904-242-0707 | |
Mrs. Stephanie Lynn Haynes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1482 3rd St S, Jacksonville Beach, FL 32250 Phone: 904-246-3232 Fax: 904-246-3626 | |
Michael Ryan, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1312 3rd St N, Jacksonville Beach, FL 32250 Phone: 904-465-5277 | |
Sydney Lautzenheiser, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 350 13th Ave S, Jacksonville Beach, FL 32250 Phone: 904-853-5106 | |
Janae Michelle O'bryant, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1577 Roberts Dr Ste 320, Jacksonville Beach, FL 32250 Phone: 904-247-3324 Fax: 904-247-3926 | |
Dr. Samantha Larson Anello, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3316 3rd St S, Suite 104, Jacksonville Beach, FL 32250 Phone: 904-685-8109 Fax: 904-249-0907 | |
Dr. Andrea N Buck, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 13th Ave S, Jacksonville Beach, FL 32250 Phone: 904-853-5106 |