| Mr Danny Leonard Mccullough, MPT | |
|
124 Sw Chamber Ct, Port St Lucie, FL 34986-3496 | |
| (772) 288-2400 | |
| (772) 419-0144 |
| Full Name | Mr Danny Leonard Mccullough |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 21 Years |
| Location | 124 Sw Chamber Ct, Port St Lucie, 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 |
|---|---|---|---|
| 1942387295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT21723 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeside Physical Therapy And Wellness Llc | 9638590722 | 3 |
| Provider Name | Novacare Outpatient Rehabilitation East, Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1487010583 PECOS PAC ID: 3678480290 Enrollment ID: O20140220000935 |
| Provider Name | Lakeside Physical Therapy And Wellness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689212136 PECOS PAC ID: 9638590722 Enrollment ID: O20200527002379 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Danny Leonard Mccullough, MPT 1050 Se Monterey Rd, Suite 400, Stuart, FL 34994-4512 Ph: (772) 288-2400 | Mr Danny Leonard Mccullough, MPT 124 Sw Chamber Ct, Port St Lucie, FL 34986-3496 Ph: (772) 288-2400 |
Elaine M Anderson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2485 Se Sidonia St, Port St Lucie, FL 34952 Phone: 772-337-2226 | |
Mrs. Lisette Longo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9077 S Federal Hwy, Port St Lucie, FL 34952 Phone: 772-335-4770 Fax: 772-335-4133 | |
Paul Phillip Burgener, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 156 Nw California Blvd, Port St Lucie, FL 34986 Phone: 772-871-7170 | |
Ms. Jody Rochelle Martin, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1867 Sw Jamesport Dr, Port St Lucie, FL 34953 Phone: 917-892-5187 | |
Tatiana C Madonia, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2042 Sw Providence Pl, Port St Lucie, FL 34953 Phone: 305-778-0516 | |
Alexander's Healing Hands, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 479 Nw Prima Vista Blvd, Suite A, Port St Lucie, FL 34983 Phone: 772-408-4848 Fax: 772-408-0978 | |
Mr. Edward Jacobo Morone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1680 Se Lyngate Dr Ste 203, Port St Lucie, FL 34952 Phone: 772-773-7055 |