| Musculoskeletal Institute Chartered | |
|
5901 E Fowler Ave Ste 100, Temple Terrace, FL 33617-2305 | |
| (813) 978-9700 | |
| Not Available |
| Full Name | Musculoskeletal Institute Chartered |
|---|---|
| Type | Facility |
| Speciality | Orthopaedic Surgery |
| Location | 5901 E Fowler Ave Ste 100, Temple Terrace, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386639920 | NPI | - | NPPES |
| 105902900 | Medicaid | FL | |
| 253796600 | Medicaid | FL | |
| 122517800 | Medicaid | FL |
| Provider Name | Todd S Minear |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679688667 PECOS PAC ID: 1456257054 Enrollment ID: I20031212000116 |
| Provider Name | Stephen C Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871547737 PECOS PAC ID: 6406757574 Enrollment ID: I20040120000934 |
| Provider Name | William C Cottrell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306893151 PECOS PAC ID: 3779479068 Enrollment ID: I20040224000845 |
| Provider Name | Craig A Schwartz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447229828 PECOS PAC ID: 5597651703 Enrollment ID: I20040225000246 |
| Provider Name | David A Reina |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609873405 PECOS PAC ID: 0840181806 Enrollment ID: I20040322000411 |
| Provider Name | Eddy Echols |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366417644 PECOS PAC ID: 5496748576 Enrollment ID: I20040405001574 |
| Provider Name | Gavin Leath Hawken |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720078363 PECOS PAC ID: 8224013693 Enrollment ID: I20040621000694 |
| Provider Name | Paul Jorge Lopes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104815711 PECOS PAC ID: 3375528433 Enrollment ID: I20040622001272 |
| Provider Name | Tiffany Michele Sperry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144219809 PECOS PAC ID: 0941285001 Enrollment ID: I20040622001325 |
| Provider Name | Steven Mirabello |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487646097 PECOS PAC ID: 4981506144 Enrollment ID: I20040624001653 |
| Provider Name | Sang H Choi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760474373 PECOS PAC ID: 7517869779 Enrollment ID: I20040624001685 |
| Provider Name | Mark Torke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033102223 PECOS PAC ID: 9830173913 Enrollment ID: I20040625000021 |
| Provider Name | Lisa R Choe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235128539 PECOS PAC ID: 5294711131 Enrollment ID: I20040629001401 |
| Provider Name | Lori J Amaden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740279090 PECOS PAC ID: 9830176635 Enrollment ID: I20040630000456 |
| Provider Name | Lori Friedgen Cook |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417946765 PECOS PAC ID: 1850371873 Enrollment ID: I20040721000930 |
| Provider Name | Willard Allen Hughes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215997366 PECOS PAC ID: 2062486228 Enrollment ID: I20040823001562 |
| Provider Name | Karen A Derr |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1073536769 PECOS PAC ID: 3971416884 Enrollment ID: I20041015000133 |
| Provider Name | Sean Adrian Shipton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235103128 PECOS PAC ID: 6901854330 Enrollment ID: I20050112000156 |
| Provider Name | Sue Mokris |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265422802 PECOS PAC ID: 1850342130 Enrollment ID: I20050203000518 |
| Provider Name | Marsha Shawn Zero |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487843504 PECOS PAC ID: 4183676489 Enrollment ID: I20050215000637 |
| Provider Name | Stephen Darcy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114909975 PECOS PAC ID: 6204874464 Enrollment ID: I20050420000273 |
| Provider Name | Michael S Werner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962494021 PECOS PAC ID: 3577504737 Enrollment ID: I20050518000270 |
| Provider Name | Timothy P Gill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093704090 PECOS PAC ID: 6507851771 Enrollment ID: I20050627000152 |
| Provider Name | Craig Radnay |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417920364 PECOS PAC ID: 3072542075 Enrollment ID: I20050810000582 |
| Provider Name | Arthi Sainath |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609866375 PECOS PAC ID: 8426087123 Enrollment ID: I20050811000780 |
| Provider Name | Michael R Piazza |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801855580 PECOS PAC ID: 5193740256 Enrollment ID: I20051012000430 |
| Provider Name | David T Watson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992779474 PECOS PAC ID: 3870516958 Enrollment ID: I20060104000866 |
| Provider Name | Cristina Pando |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467427187 PECOS PAC ID: 5991729832 Enrollment ID: I20060119000070 |
| Provider Name | James Byron Davidson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770543704 PECOS PAC ID: 8729093190 Enrollment ID: I20060208000081 |
| Provider Name | Eric M Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700984051 PECOS PAC ID: 1153339569 Enrollment ID: I20060327000772 |
| Provider Name | Tara L Casal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689630980 PECOS PAC ID: 9335151588 Enrollment ID: I20060707000101 |
| Provider Name | Richard G Pigeon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548212582 PECOS PAC ID: 2163425364 Enrollment ID: I20060808000347 |
| Provider Name | Frances B Kahn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902844087 PECOS PAC ID: 0648250563 Enrollment ID: I20060913000085 |
| Provider Name | David Cheong |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457307183 PECOS PAC ID: 9638176290 Enrollment ID: I20061025000239 |
| Provider Name | Grant Garlick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316993223 PECOS PAC ID: 7517965932 Enrollment ID: I20061120000306 |
| Provider Name | Alysha N Monduori |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043272461 PECOS PAC ID: 3072514900 Enrollment ID: I20070120000004 |
| Provider Name | Charles Procuniar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699749382 PECOS PAC ID: 8022019967 Enrollment ID: I20070120000037 |
| Provider Name | Charles C Nofsinger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023058211 PECOS PAC ID: 2163410168 Enrollment ID: I20070123000345 |
| Provider Name | Scott M Wisotsky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316961451 PECOS PAC ID: 3476554718 Enrollment ID: I20070129000656 |
| Provider Name | Emily Ann Lucius |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184739096 PECOS PAC ID: 5991808024 Enrollment ID: I20070312000032 |
| Provider Name | Nishin S Tambay |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1417096165 PECOS PAC ID: 6103846019 Enrollment ID: I20070615000030 |
| Provider Name | Michael J Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750366076 PECOS PAC ID: 8729069372 Enrollment ID: I20070716000302 |
| Provider Name | Erin L Uhler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477623288 PECOS PAC ID: 8820189210 Enrollment ID: I20070815000017 |
| Provider Name | Mark H Routman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588694202 PECOS PAC ID: 1153418074 Enrollment ID: I20071204000541 |
| Provider Name | Michael A Miranda |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1225202575 PECOS PAC ID: 3779657291 Enrollment ID: I20080801000091 |
| Provider Name | Anjan R Shah |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104091933 PECOS PAC ID: 7416022330 Enrollment ID: I20080812000482 |
| Provider Name | Hassan R Mir |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467675710 PECOS PAC ID: 8123193786 Enrollment ID: I20080815000277 |
| Provider Name | Stephanie J Epting |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1740453349 PECOS PAC ID: 0042370140 Enrollment ID: I20081119000556 |
| Provider Name | Matthew David Blevins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134119076 PECOS PAC ID: 3678477759 Enrollment ID: I20090123000425 |
| Provider Name | Matthew Jay Swick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982806121 PECOS PAC ID: 8224120217 Enrollment ID: I20090313000136 |
| Provider Name | Marianne Bushman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154450898 PECOS PAC ID: 4486707635 Enrollment ID: I20090805000434 |
| Provider Name | Winston Biltz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235365107 PECOS PAC ID: 5890848998 Enrollment ID: I20090807000203 |
| Provider Name | Andrew Jeremy Cooper |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710188479 PECOS PAC ID: 3779650700 Enrollment ID: I20090826000639 |
| Provider Name | John Bertozzi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326230095 PECOS PAC ID: 4789736471 Enrollment ID: I20090831000057 |
| Provider Name | Marissa F Janeway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467684308 PECOS PAC ID: 1658426085 Enrollment ID: I20090908000424 |
| Provider Name | Michael J Garcia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710163886 PECOS PAC ID: 9537234414 Enrollment ID: I20090930000552 |
| Provider Name | Anthony L Marcotte |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1144278300 PECOS PAC ID: 4486651544 Enrollment ID: I20091010000008 |
| Provider Name | Mark Allen Mighell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528065323 PECOS PAC ID: 5496893422 Enrollment ID: I20091112000319 |
| Provider Name | Thomas Lane Bernasek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881699726 PECOS PAC ID: 8022921097 Enrollment ID: I20091112000365 |
| Provider Name | Seth I Gasser |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1164427878 PECOS PAC ID: 8729991799 Enrollment ID: I20091112000384 |
| Provider Name | Anthony Frank Infante |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720083454 PECOS PAC ID: 0648318576 Enrollment ID: I20091112000442 |
| Provider Name | Ann Gowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295730091 PECOS PAC ID: 2466590310 Enrollment ID: I20091112000569 |
| Provider Name | Steven T Lyons |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275530479 PECOS PAC ID: 9830151752 Enrollment ID: I20091112000585 |
| Provider Name | Howard Jackson |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1255338042 PECOS PAC ID: 6002954914 Enrollment ID: I20091113000432 |
| Provider Name | Jeffrey D Stone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417954215 PECOS PAC ID: 0648318469 Enrollment ID: I20091114000053 |
| Provider Name | Mark Frankle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780680074 PECOS PAC ID: 0143368928 Enrollment ID: I20091116000535 |
| Provider Name | John Small |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144227364 PECOS PAC ID: 7012055809 Enrollment ID: I20091116000571 |
| Provider Name | Alfred Vincent Hess |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578568291 PECOS PAC ID: 3779496773 Enrollment ID: I20091117000086 |
| Provider Name | Roy Sanders |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881691681 PECOS PAC ID: 1557274529 Enrollment ID: I20091222000361 |
| Provider Name | Adam C Morse |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1255338059 PECOS PAC ID: 8628118544 Enrollment ID: I20091226000010 |
| Provider Name | Shelley B Juern Mckaughan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467780023 PECOS PAC ID: 7911040977 Enrollment ID: I20100130000158 |
| Provider Name | Irma Witbreuk |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992834303 PECOS PAC ID: 1557403144 Enrollment ID: I20100209000383 |
| Provider Name | Marc Weinstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679570469 PECOS PAC ID: 5597800367 Enrollment ID: I20100304000202 |
| Provider Name | Michael Fittin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811094063 PECOS PAC ID: 5395870166 Enrollment ID: I20100318000325 |
| Provider Name | Jorge A Rodriguez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922072461 PECOS PAC ID: 1850427071 Enrollment ID: I20100326000815 |
| Provider Name | Michelle Greer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265420285 PECOS PAC ID: 3678604451 Enrollment ID: I20100622000732 |
| Provider Name | Thomas O Schwab |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306886379 PECOS PAC ID: 5597898221 Enrollment ID: I20100802000952 |
| Provider Name | John E Kilgore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770526410 PECOS PAC ID: 8628101359 Enrollment ID: I20100802001001 |
| Provider Name | George H Canizares |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942274485 PECOS PAC ID: 7810020294 Enrollment ID: I20100805000568 |
| Provider Name | Jason A Nydick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417108374 PECOS PAC ID: 5991850869 Enrollment ID: I20100819001217 |
| Provider Name | Michael L Rothberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831138338 PECOS PAC ID: 9638065279 Enrollment ID: I20100913000265 |
| Provider Name | Steven Jeffrey Tresser |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457309056 PECOS PAC ID: 1254525652 Enrollment ID: I20101029000847 |
| Provider Name | Glenn S Fuoco |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912989625 PECOS PAC ID: 8921293010 Enrollment ID: I20101115001070 |
| Provider Name | Brett R Bolhofner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134193667 PECOS PAC ID: 0345354049 Enrollment ID: I20110113000356 |
| Provider Name | Hogan Gregory Yi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275532343 PECOS PAC ID: 1355304734 Enrollment ID: I20110322000664 |
| Provider Name | Timothy C Epting |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275796765 PECOS PAC ID: 4183808751 Enrollment ID: I20110405001015 |
| Provider Name | Christopher E Baker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679775167 PECOS PAC ID: 7012185762 Enrollment ID: I20110722000645 |
| Provider Name | Kurt C Hirshorn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114199718 PECOS PAC ID: 8224225354 Enrollment ID: I20110801000901 |
| Provider Name | David Thompson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033159009 PECOS PAC ID: 0446468045 Enrollment ID: I20111207000783 |
| Provider Name | Peter V Lopez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366404550 PECOS PAC ID: 1951475359 Enrollment ID: I20120106000030 |
| Provider Name | Floyd W Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801816087 PECOS PAC ID: 9032160908 Enrollment ID: I20120120000843 |
| Provider Name | Gregory O Jefferson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174602031 PECOS PAC ID: 0446419501 Enrollment ID: I20120308000372 |
| Provider Name | Deborah Ann Sauls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740555374 PECOS PAC ID: 5294997912 Enrollment ID: I20120425000566 |
| Provider Name | Ioannis Panagiotis Pappou |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225292360 PECOS PAC ID: 4082870209 Enrollment ID: I20120716000385 |
| Provider Name | Maria D Quintela |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033255781 PECOS PAC ID: 9638316516 Enrollment ID: I20130513000646 |
| Provider Name | Dzi-viet P Nguyen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265698294 PECOS PAC ID: 3577703107 Enrollment ID: I20130702000731 |
| Provider Name | Marc Droste |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821062795 PECOS PAC ID: 2466693791 Enrollment ID: I20130729000494 |
| Provider Name | Paul J Pagano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215930912 PECOS PAC ID: 2769384478 Enrollment ID: I20130802000287 |
| Provider Name | Jason P Schoonover |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770824609 PECOS PAC ID: 1658513213 Enrollment ID: I20130809000600 |
| Provider Name | Brian Thomas Palumbo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770784324 PECOS PAC ID: 3274784459 Enrollment ID: I20130820000077 |
| Provider Name | Jeff Eugene Sellman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902035652 PECOS PAC ID: 4183866213 Enrollment ID: I20130820000178 |
| Provider Name | Elio M Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245663384 PECOS PAC ID: 4284877218 Enrollment ID: I20130823000534 |
| Provider Name | Kathleen A Pirri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700218344 PECOS PAC ID: 7719111541 Enrollment ID: I20131010001700 |
| Provider Name | Tracey A Krinn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700229085 PECOS PAC ID: 8820223951 Enrollment ID: I20131028000546 |
| Provider Name | Bailey M Chatham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851648729 PECOS PAC ID: 1850543786 Enrollment ID: I20140121001998 |
| Provider Name | Tim Alan Long |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003902875 PECOS PAC ID: 0840422119 Enrollment ID: I20140421001024 |
| Provider Name | John Dewey Ramirez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891125795 PECOS PAC ID: 4385867274 Enrollment ID: I20140521002474 |
| Provider Name | Mitchell R Herrema |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811126048 PECOS PAC ID: 4688830201 Enrollment ID: I20140609000912 |
| Provider Name | Anne Gamache |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801116108 PECOS PAC ID: 0345465597 Enrollment ID: I20140702001772 |
| Provider Name | Makiko Torikai |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770917874 PECOS PAC ID: 3476778069 Enrollment ID: I20140716001052 |
| Provider Name | Marc R Hinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922438076 PECOS PAC ID: 7911123757 Enrollment ID: I20140730002697 |
| Provider Name | Benjamin James Maxson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124353677 PECOS PAC ID: 4880811603 Enrollment ID: I20140818002515 |
| Provider Name | David Richmond Whiddon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598726564 PECOS PAC ID: 6901800317 Enrollment ID: I20140819002302 |
| Provider Name | Delbert Paul Remaley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396900148 PECOS PAC ID: 8729265913 Enrollment ID: I20140829000318 |
| Provider Name | Richard D John |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235561697 PECOS PAC ID: 1052634599 Enrollment ID: I20150108000869 |
| Provider Name | Syed Mannan Zaffer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255323606 PECOS PAC ID: 5395636757 Enrollment ID: I20150623001655 |
| Provider Name | Stephanie I Labutis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598980054 PECOS PAC ID: 1052626561 Enrollment ID: I20150812008951 |
| Provider Name | Christopher W Grayson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528294618 PECOS PAC ID: 6608019211 Enrollment ID: I20150819008337 |
| Provider Name | Gabriel Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336113497 PECOS PAC ID: 7719970755 Enrollment ID: I20150828001933 |
| Provider Name | Seung Yi |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1235367483 PECOS PAC ID: 3274849237 Enrollment ID: I20150904002243 |
| Provider Name | Christian Miciano Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942685557 PECOS PAC ID: 7113235052 Enrollment ID: I20150926000170 |
| Provider Name | Ruth A Coopee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427123827 PECOS PAC ID: 9234138546 Enrollment ID: I20151019000913 |
| Provider Name | Nishit Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891031274 PECOS PAC ID: 3971748799 Enrollment ID: I20151111000005 |
| Provider Name | Eric J Wilkinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205153467 PECOS PAC ID: 2860795937 Enrollment ID: I20160122001953 |
| Provider Name | Meredith Lapierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962785956 PECOS PAC ID: 2163678145 Enrollment ID: I20160225002705 |
| Provider Name | Ashley M.c. Deco |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114380144 PECOS PAC ID: 7012206022 Enrollment ID: I20160516000002 |
| Provider Name | Stephanie Dyal Cooke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245699297 PECOS PAC ID: 6204125016 Enrollment ID: I20160518001334 |
| Provider Name | Eric Chua Lim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902286156 PECOS PAC ID: 8426349093 Enrollment ID: I20160629001393 |
| Provider Name | Amy E Stokes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992956304 PECOS PAC ID: 6709022577 Enrollment ID: I20160930001871 |
| Provider Name | Todd P Beery |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427283613 PECOS PAC ID: 0345468930 Enrollment ID: I20161017001580 |
| Provider Name | Mohsin Ansari |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538516398 PECOS PAC ID: 0547548760 Enrollment ID: I20161024000097 |
| Provider Name | Tyler Brooks Vealey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588046940 PECOS PAC ID: 4880976299 Enrollment ID: I20170119002365 |
| Provider Name | Jeffrey Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174065296 PECOS PAC ID: 3476835539 Enrollment ID: I20170125000538 |
| Provider Name | Aaron Koslin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790090801 PECOS PAC ID: 6901119056 Enrollment ID: I20170224000830 |
| Provider Name | Gina Cespedes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669873592 PECOS PAC ID: 5092023879 Enrollment ID: I20170405000441 |
| Provider Name | Jessica Ferguson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356889604 PECOS PAC ID: 8123304920 Enrollment ID: I20170410002381 |
| Provider Name | Netsanet D Abebe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871034231 PECOS PAC ID: 1557648326 Enrollment ID: I20170503001886 |
| Provider Name | Carol J Healy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508905175 PECOS PAC ID: 5395899900 Enrollment ID: I20170508002384 |
| Provider Name | Raymon Hanna |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518371616 PECOS PAC ID: 8224305628 Enrollment ID: I20170606000277 |
| Provider Name | Afonso G Castro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831627108 PECOS PAC ID: 9032488911 Enrollment ID: I20170708000293 |
| Provider Name | Adil A Samad |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538468160 PECOS PAC ID: 3072800127 Enrollment ID: I20170830002176 |
| Provider Name | Neil Sudhir Kumar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285920454 PECOS PAC ID: 1153626858 Enrollment ID: I20170925001842 |
| Provider Name | Olivia T Ehrlich |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881110393 PECOS PAC ID: 8527326313 Enrollment ID: I20171228000964 |
| Provider Name | Tiffany A Loewe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215993126 PECOS PAC ID: 9830141704 Enrollment ID: I20180212001074 |
| Provider Name | Elizabeth Stroh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124391230 PECOS PAC ID: 8527221613 Enrollment ID: I20180307002694 |
| Provider Name | Edward Charles Betzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891293114 PECOS PAC ID: 9638433022 Enrollment ID: I20180511001070 |
| Provider Name | Ted I Ellquist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770516734 PECOS PAC ID: 8921014762 Enrollment ID: I20180720000989 |
| Provider Name | Faisal Aziz Chaudhry |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1114189792 PECOS PAC ID: 6709016066 Enrollment ID: I20180726002152 |
| Provider Name | Morgan Ashley O'brien |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821580846 PECOS PAC ID: 9830446483 Enrollment ID: I20180727001262 |
| Provider Name | Jessica Ariel Rosengold |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346746492 PECOS PAC ID: 5597014969 Enrollment ID: I20180817000911 |
| Provider Name | Arjuena Dinglasan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508353012 PECOS PAC ID: 2062761448 Enrollment ID: I20180817001360 |
| Provider Name | Peter J Howard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992065312 PECOS PAC ID: 0244460749 Enrollment ID: I20180829001415 |
| Provider Name | Magdalena W Bachan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043705783 PECOS PAC ID: 9133479561 Enrollment ID: I20180906000731 |
| Provider Name | George Capote |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457831927 PECOS PAC ID: 3072864958 Enrollment ID: I20180918000247 |
| Provider Name | David Michael Donohue |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639436363 PECOS PAC ID: 7517235054 Enrollment ID: I20180920002916 |
| Provider Name | Richard Howell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609139336 PECOS PAC ID: 2163792367 Enrollment ID: I20181002002712 |
| Provider Name | Stacey Lynn Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144699547 PECOS PAC ID: 6709139603 Enrollment ID: I20181023001361 |
| Provider Name | Mitchell Campbell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770066094 PECOS PAC ID: 1052665106 Enrollment ID: I20181108001992 |
| Provider Name | Reza Alavi |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1730575044 PECOS PAC ID: 2860736741 Enrollment ID: I20181204000810 |
| Provider Name | Kaley Mcnabb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518453331 PECOS PAC ID: 2860736675 Enrollment ID: I20181205002302 |
| Provider Name | David Nolen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275003089 PECOS PAC ID: 2264779867 Enrollment ID: I20190118002785 |
| Provider Name | Tara Bagen Sonnanstine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316380439 PECOS PAC ID: 9436438272 Enrollment ID: I20190305000030 |
| Provider Name | Michael A Venezia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356757512 PECOS PAC ID: 1456690619 Enrollment ID: I20190305002891 |
| Provider Name | Grace Portoghese |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699108126 PECOS PAC ID: 4981944683 Enrollment ID: I20190315001158 |
| Provider Name | Jessica Rachelle Hamel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811469729 PECOS PAC ID: 2062753312 Enrollment ID: I20190415000637 |
| Provider Name | Alyssa N Crosby |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932534740 PECOS PAC ID: 6305188608 Enrollment ID: I20190507003182 |
| Provider Name | Jordan Caroline Luther |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164965521 PECOS PAC ID: 4789926965 Enrollment ID: I20190509000397 |
| Provider Name | Anthony Fittipaldi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275056244 PECOS PAC ID: 8426382698 Enrollment ID: I20190620003253 |
| Provider Name | James Joseph Creighton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073950788 PECOS PAC ID: 9739321043 Enrollment ID: I20190718002617 |
| Provider Name | Patrick Judson Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558708370 PECOS PAC ID: 5890919351 Enrollment ID: I20190802000727 |
| Provider Name | Donald Ray Reynolds |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114459716 PECOS PAC ID: 8426327347 Enrollment ID: I20190813003020 |
| Provider Name | Evan Michael Loewy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144562448 PECOS PAC ID: 4082977723 Enrollment ID: I20190815002078 |
| Provider Name | Tram Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508418328 PECOS PAC ID: 0941531370 Enrollment ID: I20191015003508 |
| Provider Name | Bridgett Powe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669013488 PECOS PAC ID: 1759613227 Enrollment ID: I20191101002053 |
| Provider Name | Jordan Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871134585 PECOS PAC ID: 9537591979 Enrollment ID: I20191122002125 |
| Provider Name | Krista Griffin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720571755 PECOS PAC ID: 5991138067 Enrollment ID: I20191210003177 |
| Provider Name | Erica Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194386938 PECOS PAC ID: 2769816099 Enrollment ID: I20191219001928 |
| Provider Name | Crisilda Crasto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316584683 PECOS PAC ID: 4880029487 Enrollment ID: I20200108001129 |
| Provider Name | Bryant Carl Villota |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235773060 PECOS PAC ID: 4688009806 Enrollment ID: I20200116001637 |
| Provider Name | Adrienne Forkois |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386618346 PECOS PAC ID: 2062785637 Enrollment ID: I20200211002652 |
| Provider Name | Sean P Moroze |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861804304 PECOS PAC ID: 7618264607 Enrollment ID: I20200316001695 |
| Provider Name | Gina M Komar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790798122 PECOS PAC ID: 3072792654 Enrollment ID: I20200408002855 |
| Provider Name | Scott Povlak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487288692 PECOS PAC ID: 9436589702 Enrollment ID: I20200429000993 |
| Provider Name | Gregory I Mines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326545682 PECOS PAC ID: 8325398738 Enrollment ID: I20200511001182 |
| Provider Name | Spencer Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114319597 PECOS PAC ID: 3870870546 Enrollment ID: I20200702001566 |
| Provider Name | Holden D Heitner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407276504 PECOS PAC ID: 4688910227 Enrollment ID: I20200709000625 |
| Provider Name | Traci Lynn Mcguire |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396939377 PECOS PAC ID: 9436239555 Enrollment ID: I20200722001367 |
| Provider Name | Jessica Henry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952937492 PECOS PAC ID: 0244654275 Enrollment ID: I20200722003366 |
| Provider Name | Andrew Boltuch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265815450 PECOS PAC ID: 3375969801 Enrollment ID: I20200814001192 |
| Provider Name | Michael C Doarn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104053966 PECOS PAC ID: 5890912331 Enrollment ID: I20200903001796 |
| Provider Name | Sedrina A Brown |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952965063 PECOS PAC ID: 8123446440 Enrollment ID: I20200917001553 |
| Provider Name | Katie Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114201613 PECOS PAC ID: 2163696709 Enrollment ID: I20200922000186 |
| Provider Name | Ashley Anne Lowdermilk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073129722 PECOS PAC ID: 1557789617 Enrollment ID: I20200922001869 |
| Provider Name | Ruth E. Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962642207 PECOS PAC ID: 0345669875 Enrollment ID: I20201001001649 |
| Provider Name | Brett Woyshner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982206736 PECOS PAC ID: 5092126201 Enrollment ID: I20201119000707 |
| Provider Name | Scott Billings |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629671284 PECOS PAC ID: 0446661193 Enrollment ID: I20201201002037 |
| Provider Name | Sarah Epley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629567813 PECOS PAC ID: 8628333481 Enrollment ID: I20201210002284 |
| Provider Name | Vanessa Josephine Faulkner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275138646 PECOS PAC ID: 3072925114 Enrollment ID: I20201215001702 |
| Provider Name | Morgan Basler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528536331 PECOS PAC ID: 2163836594 Enrollment ID: I20210127000308 |
| Provider Name | Youstina Ibrahim Bolos |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073976429 PECOS PAC ID: 5890102909 Enrollment ID: I20210407000917 |
| Provider Name | Brian J Hatlelid |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861525347 PECOS PAC ID: 5092123166 Enrollment ID: I20210412000133 |
| Provider Name | Drashti Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932727104 PECOS PAC ID: 6507274941 Enrollment ID: I20210423000010 |
| Provider Name | Jessica Vargas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790108918 PECOS PAC ID: 3173922861 Enrollment ID: I20210601000189 |
| Provider Name | Drashtiben Parikh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205418548 PECOS PAC ID: 7416356977 Enrollment ID: I20210603001225 |
| Provider Name | Shaan Mehta |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1801320148 PECOS PAC ID: 0941571723 Enrollment ID: I20210628003311 |
| Provider Name | Thomas Scott Stang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891185963 PECOS PAC ID: 5496027179 Enrollment ID: I20210630000455 |
| Provider Name | Yelena Levina |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619323524 PECOS PAC ID: 8022419795 Enrollment ID: I20210701002057 |
| Provider Name | Christopher David Flanagan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841686771 PECOS PAC ID: 8123322252 Enrollment ID: I20210715001946 |
| Provider Name | Javier Alvarado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023687688 PECOS PAC ID: 9032512660 Enrollment ID: I20210720003015 |
| Provider Name | David J Kusin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821448325 PECOS PAC ID: 2668767922 Enrollment ID: I20210722001179 |
| Provider Name | David Bird Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841651031 PECOS PAC ID: 9335405448 Enrollment ID: I20210723001358 |
| Provider Name | Craig Melbourne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326499674 PECOS PAC ID: 9931470382 Enrollment ID: I20210727002062 |
| Provider Name | Jeffrey Thomas Kannen |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1447783642 PECOS PAC ID: 0244599520 Enrollment ID: I20210728001726 |
| Provider Name | Kevin Jeremiah Cronin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821479759 PECOS PAC ID: 0648565077 Enrollment ID: I20210811003358 |
| Provider Name | Benjamin Streufert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770979247 PECOS PAC ID: 4880019926 Enrollment ID: I20210825000612 |
| Provider Name | Mark Allan Jorgensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659972826 PECOS PAC ID: 5395140446 Enrollment ID: I20210827000100 |
| Provider Name | Brian Richard Laskowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033885918 PECOS PAC ID: 7315343381 Enrollment ID: I20210831002340 |
| Provider Name | Brooks Robert Osburn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932527298 PECOS PAC ID: 8022414648 Enrollment ID: I20210908000522 |
| Provider Name | Eric Breitweiser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164191979 PECOS PAC ID: 4789081837 Enrollment ID: I20210916002004 |
| Provider Name | Danielle Pisano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639848443 PECOS PAC ID: 6901203918 Enrollment ID: I20210917001153 |
| Provider Name | Jacob Alan Alexsuk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366118531 PECOS PAC ID: 3072910306 Enrollment ID: I20210929000232 |
| Provider Name | Scott Eckardt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518951169 PECOS PAC ID: 4981666252 Enrollment ID: I20211014002676 |
| Provider Name | Justin D Shuman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710294269 PECOS PAC ID: 7315129681 Enrollment ID: I20211025002729 |
| Provider Name | Cortney Hays |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396389649 PECOS PAC ID: 0941698997 Enrollment ID: I20211025003258 |
| Provider Name | Tyler Robert Drake |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518620889 PECOS PAC ID: 2567851819 Enrollment ID: I20211108002742 |
| Provider Name | Ameer Ghaisarnia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205212982 PECOS PAC ID: 7517262983 Enrollment ID: I20220105000463 |
| Provider Name | Elie Hanna Boutros |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801408943 PECOS PAC ID: 5890187363 Enrollment ID: I20220112001527 |
| Provider Name | Jacqueline R Dove |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952371544 PECOS PAC ID: 3577591569 Enrollment ID: I20220113000470 |
| Provider Name | Jennifer R Kearns |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730704677 PECOS PAC ID: 3678999265 Enrollment ID: I20220118001657 |
| Provider Name | Nicole Margaret Laderer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790437523 PECOS PAC ID: 9133512114 Enrollment ID: I20220216000169 |
| Provider Name | Mario Angel Ojeda |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700532223 PECOS PAC ID: 7012302755 Enrollment ID: I20220316002888 |
| Provider Name | Jennifer Melendez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144503103 PECOS PAC ID: 4688848310 Enrollment ID: I20220502000795 |
| Provider Name | Madison E Scanlan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336805506 PECOS PAC ID: 9032597554 Enrollment ID: I20220610002562 |
| Provider Name | Alex Elliott Mierke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902339344 PECOS PAC ID: 1052791522 Enrollment ID: I20220630002392 |
| Provider Name | Matthew Chorney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114451192 PECOS PAC ID: 3274802475 Enrollment ID: I20220711000751 |
| Provider Name | Dominic Vincenzo Marino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225577703 PECOS PAC ID: 1759761521 Enrollment ID: I20220711002143 |
| Provider Name | Riley Schlub |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1568842904 PECOS PAC ID: 3476849480 Enrollment ID: I20220712003208 |
| Provider Name | Devin William Collins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417477852 PECOS PAC ID: 1658752316 Enrollment ID: I20220713001477 |
| Provider Name | Cassandra Ricketts |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508392093 PECOS PAC ID: 1557630852 Enrollment ID: I20220713002525 |
| Provider Name | Cristina Maria Franceschini Sanchez |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1528554706 PECOS PAC ID: 3678954559 Enrollment ID: I20220725000156 |
| Provider Name | Jaclynn E Meisel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740914977 PECOS PAC ID: 2466834585 Enrollment ID: I20220804003851 |
| Provider Name | Kathryn Shust |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962614354 PECOS PAC ID: 5799053856 Enrollment ID: I20220814000081 |
| Provider Name | Sarah Figueroa Bowers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770143174 PECOS PAC ID: 0749517308 Enrollment ID: I20220816003591 |
| Provider Name | Thomas Auld |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447614227 PECOS PAC ID: 6002219052 Enrollment ID: I20220816003885 |
| Provider Name | Jordyn Tuck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962139469 PECOS PAC ID: 4587048830 Enrollment ID: I20220906000776 |
| Provider Name | Chelsa Regail Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346977303 PECOS PAC ID: 9931585536 Enrollment ID: I20221005002340 |
| Provider Name | David Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407190648 PECOS PAC ID: 1951651462 Enrollment ID: I20221011002926 |
| Provider Name | Andrea Wojcichowsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093430878 PECOS PAC ID: 7911373584 Enrollment ID: I20221023000038 |
| Provider Name | Conner Applewhite Hansen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649763459 PECOS PAC ID: 5193191559 Enrollment ID: I20221026002358 |
| Provider Name | Kate Elizabeth Turchin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457078545 PECOS PAC ID: 9032586326 Enrollment ID: I20221028001829 |
| Provider Name | Michael Fernando Monzon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184331589 PECOS PAC ID: 5496122087 Enrollment ID: I20221111000264 |
| Provider Name | Victoria Tavenner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679281968 PECOS PAC ID: 0042688566 Enrollment ID: I20221115000369 |
| Provider Name | Christian R Wilhelm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932798584 PECOS PAC ID: 5698181386 Enrollment ID: I20221115002309 |
| Provider Name | Caitlin Savannah Dobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912614827 PECOS PAC ID: 2769851286 Enrollment ID: I20221206000335 |
| Provider Name | Melissa Guigliano |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003427584 PECOS PAC ID: 7214306422 Enrollment ID: I20221210000021 |
| Provider Name | Adriel Alexander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952040156 PECOS PAC ID: 6406234004 Enrollment ID: I20230120000587 |
| Provider Name | Anne- Marie Belott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295052439 PECOS PAC ID: 7214111681 Enrollment ID: I20230307002248 |
| Provider Name | Dylan Shaw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457057382 PECOS PAC ID: 5799159075 Enrollment ID: I20230328003055 |
| Provider Name | Caroline Evers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720633993 PECOS PAC ID: 9436524519 Enrollment ID: I20230403000486 |
| Provider Name | Shania Anglade |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225600810 PECOS PAC ID: 9537537378 Enrollment ID: I20230404000002 |
| Provider Name | Natasa Delic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558607945 PECOS PAC ID: 6608232913 Enrollment ID: I20230511001467 |
| Provider Name | Leia M Carothers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871643940 PECOS PAC ID: 3577929470 Enrollment ID: I20230518003481 |
| Provider Name | Emily Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689334393 PECOS PAC ID: 0244697514 Enrollment ID: I20230531002512 |
| Provider Name | Ethan Conner Bennett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285328526 PECOS PAC ID: 7214395870 Enrollment ID: I20230614002351 |
| Provider Name | Caleb Andrew Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245737063 PECOS PAC ID: 6103174024 Enrollment ID: I20230615001263 |
| Provider Name | Zachary S Wells |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558866657 PECOS PAC ID: 4789042185 Enrollment ID: I20230616000686 |
| Provider Name | Jonathan H Wills |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881199917 PECOS PAC ID: 3476911348 Enrollment ID: I20230626000361 |
| Provider Name | Toby Hartog |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992342026 PECOS PAC ID: 6608200449 Enrollment ID: I20230627002938 |
| Provider Name | Monica Julia Stadecker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063918134 PECOS PAC ID: 2860850500 Enrollment ID: I20230628000595 |
| Provider Name | Christopher Leibold |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306379086 PECOS PAC ID: 9234598970 Enrollment ID: I20230629000052 |
| Provider Name | Mark Spencer Woernle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902395023 PECOS PAC ID: 3577922160 Enrollment ID: I20230629001810 |
| Provider Name | George Wendell Feliciano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013995711 PECOS PAC ID: 9032146717 Enrollment ID: I20230630001142 |
| Provider Name | Casey Roehr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881191195 PECOS PAC ID: 2062763907 Enrollment ID: I20230630001931 |
| Provider Name | Logan Kolakowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982192043 PECOS PAC ID: 5698011047 Enrollment ID: I20230705002657 |
| Provider Name | David O'neill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215433305 PECOS PAC ID: 0547629867 Enrollment ID: I20230705002785 |
| Provider Name | Karli R Koenig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568624807 PECOS PAC ID: 1456494954 Enrollment ID: I20230711000778 |
| Provider Name | Gregory Joseph Schmidt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679064182 PECOS PAC ID: 9638434350 Enrollment ID: I20230714002531 |
| Provider Name | Gus James Strauss |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649769522 PECOS PAC ID: 8224498795 Enrollment ID: I20230714003096 |
| Provider Name | Joseph A Dalonzo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942706973 PECOS PAC ID: 2062758121 Enrollment ID: I20230718001225 |
| Provider Name | Kevin Fanning Dunne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306238936 PECOS PAC ID: 8729448030 Enrollment ID: I20230718004167 |
| Provider Name | Erin Stockwell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689168932 PECOS PAC ID: 8820349194 Enrollment ID: I20230726000710 |
| Provider Name | Jonathan Brown |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457663692 PECOS PAC ID: 8628339629 Enrollment ID: I20230823003421 |
| Provider Name | Gregory Violette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184407892 PECOS PAC ID: 5890158323 Enrollment ID: I20230830002848 |
| Provider Name | Tyler Jay Burdsall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962080903 PECOS PAC ID: 1557724986 Enrollment ID: I20230831003343 |
| Provider Name | Amos Kotz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821782285 PECOS PAC ID: 5799148003 Enrollment ID: I20230901002120 |
| Provider Name | Bennett Nathaniel Osburn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215626775 PECOS PAC ID: 4183088214 Enrollment ID: I20230907004207 |
| Provider Name | Joumana Mehrab |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962152132 PECOS PAC ID: 4082078969 Enrollment ID: I20230911002791 |
| Provider Name | Maria Dort |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174206692 PECOS PAC ID: 5799139606 Enrollment ID: I20230927000117 |
| Provider Name | Adam Regalado |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831973262 PECOS PAC ID: 6507211778 Enrollment ID: I20231006002960 |
| Provider Name | Georges Haidamous |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518585934 PECOS PAC ID: 9234584467 Enrollment ID: I20231009001685 |
| Provider Name | Avegille Tabelon Uy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346013554 PECOS PAC ID: 9638526999 Enrollment ID: I20231108000291 |
| Provider Name | Joshua David Linnell |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1942469812 PECOS PAC ID: 8729391370 Enrollment ID: I20231213003423 |
| Provider Name | Christian Villanueva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548039985 PECOS PAC ID: 1759733496 Enrollment ID: I20240118002808 |
| Provider Name | Stephanie Monico |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487844684 PECOS PAC ID: 6507934213 Enrollment ID: I20240129001902 |
| Provider Name | Diana Marie Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730959735 PECOS PAC ID: 5092158295 Enrollment ID: I20240205002139 |
| Provider Name | Olivia Marie Kastor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285398719 PECOS PAC ID: 0840634309 Enrollment ID: I20240223000303 |
| Provider Name | Natalie Nicole Douglas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073379590 PECOS PAC ID: 0446695175 Enrollment ID: I20240304001770 |
| Provider Name | Matthew David Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043906589 PECOS PAC ID: 6608212675 Enrollment ID: I20240313000265 |
| Provider Name | Mischa Tice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043076755 PECOS PAC ID: 4486091758 Enrollment ID: I20240321003397 |
| Provider Name | Maday Aylen Alonso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902664410 PECOS PAC ID: 1456798578 Enrollment ID: I20240326000681 |
| Provider Name | Gregory David Heigle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841753480 PECOS PAC ID: 4284073313 Enrollment ID: I20240422001952 |
| Provider Name | Kristine Maya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174073357 PECOS PAC ID: 9830479872 Enrollment ID: I20240429000515 |
| Provider Name | Nathaniel Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184376709 PECOS PAC ID: 9931593530 Enrollment ID: I20240508001144 |
| Provider Name | John Michael Bauza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275382780 PECOS PAC ID: 2163864430 Enrollment ID: I20240531002853 |
| Provider Name | Margret Elizabeth Zorc |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1467913947 PECOS PAC ID: 4587107958 Enrollment ID: I20240613004614 |
| Provider Name | Matthew C Sweet |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730748898 PECOS PAC ID: 6103150933 Enrollment ID: I20240626000632 |
| Provider Name | Paul Ulrich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285291609 PECOS PAC ID: 2769715341 Enrollment ID: I20240701000273 |
| Provider Name | Stephanie A Hall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861083404 PECOS PAC ID: 4981019221 Enrollment ID: I20240701001869 |
| Provider Name | Ronald Jacob Mitchell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629331269 PECOS PAC ID: 5890239644 Enrollment ID: I20240703001625 |
| Provider Name | Donnell Bernard Mcdonald |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548721913 PECOS PAC ID: 2466786280 Enrollment ID: I20240709002879 |
| Provider Name | Braden James Mattison |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063077162 PECOS PAC ID: 2567907728 Enrollment ID: I20240711002592 |
| Provider Name | Micah Nieboer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336702224 PECOS PAC ID: 0547595803 Enrollment ID: I20240715004349 |
| Provider Name | Olivia Marie Rice |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609372275 PECOS PAC ID: 1254688161 Enrollment ID: I20240717002600 |
| Provider Name | George Kolettis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083177422 PECOS PAC ID: 4385979541 Enrollment ID: I20240717004364 |
| Provider Name | Matthew Darlow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467913970 PECOS PAC ID: 4183031016 Enrollment ID: I20240718000851 |
| Provider Name | Alexander James Macfarlane |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861055774 PECOS PAC ID: 3375870728 Enrollment ID: I20240722003803 |
| Provider Name | Ankur S Narain |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023408242 PECOS PAC ID: 7315295680 Enrollment ID: I20240724000287 |
| Provider Name | Lukas Emile Hashem |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063110708 PECOS PAC ID: 2062876691 Enrollment ID: I20240729001951 |
| Provider Name | Jared M Newman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508360694 PECOS PAC ID: 7517204639 Enrollment ID: I20240731000017 |
| Provider Name | Samuel Joseph Swiggett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942732029 PECOS PAC ID: 8022360577 Enrollment ID: I20240822004652 |
| Provider Name | Colin Keith Cantrell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932668258 PECOS PAC ID: 3274867395 Enrollment ID: I20240826002100 |
| Provider Name | Amanda Deaver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225860802 PECOS PAC ID: 6406396423 Enrollment ID: I20240905001462 |
| Provider Name | Julia Lutz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679306294 PECOS PAC ID: 3375083173 Enrollment ID: I20240907000060 |
| Provider Name | Huong Quynh Huynh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669231023 PECOS PAC ID: 0345780839 Enrollment ID: I20240911001689 |
| Provider Name | Madeline Elena Fezzie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972213510 PECOS PAC ID: 8628518867 Enrollment ID: I20240913002520 |
| Provider Name | Kelsey Mcmurray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265013486 PECOS PAC ID: 5496140659 Enrollment ID: I20240926004641 |
| Provider Name | Rachel Elizabeth Becker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629530316 PECOS PAC ID: 4688907686 Enrollment ID: I20241013000164 |
| Provider Name | Daniel Antanuos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831926088 PECOS PAC ID: 5890227052 Enrollment ID: I20241014002469 |
| Provider Name | Michael Elsenbeck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164832176 PECOS PAC ID: 1355752346 Enrollment ID: I20241016004618 |
| Provider Name | Madelyn Elizabeth Wengyn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609601194 PECOS PAC ID: 8224561691 Enrollment ID: I20241024001833 |
| Provider Name | Sydney Renee Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669225439 PECOS PAC ID: 7618400854 Enrollment ID: I20241028001054 |
| Provider Name | Ricardo John Manuel Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386462778 PECOS PAC ID: 7416480470 Enrollment ID: I20241029002758 |
| Provider Name | Darlene Marie Chamorro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285458331 PECOS PAC ID: 8527593946 Enrollment ID: I20241121004888 |
| Provider Name | Aja Perry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881359743 PECOS PAC ID: 2668908864 Enrollment ID: I20241211003006 |
| Provider Name | Ashley Beamer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093481384 PECOS PAC ID: 8224406780 Enrollment ID: I20250109001347 |
| Mailing Address | Practice Location Address |
|---|---|
| Musculoskeletal Institute Chartered 5901 E Fowler Ave Ste 100, Temple Terrace, FL 33617-2305 Ph: (813) 978-9700 | Musculoskeletal Institute Chartered 5901 E Fowler Ave Ste 100, Temple Terrace, FL 33617-2305 Ph: (813) 978-9700 |