| Optimal Performance And Physical Therapies Hyde Park Llc | |
|
1501 W Cleveland St, Tampa, FL 33606-1806 | |
| (813) 418-7350 | |
| Not Available |
| Full Name | Optimal Performance And Physical Therapies Hyde Park Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1501 W Cleveland St, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528381621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4616 (Florida) | Primary |
| Provider Name | Kelly J Tangen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083710461 PECOS PAC ID: 9931236908 Enrollment ID: I20100422000815 |
| Provider Name | Jacob A Sager |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912137969 PECOS PAC ID: 9739374976 Enrollment ID: I20101112000699 |
| Provider Name | Jeremy Maddox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861597577 PECOS PAC ID: 2264611664 Enrollment ID: I20110131000594 |
| Provider Name | Stephanie M Bridwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649376690 PECOS PAC ID: 5395920581 Enrollment ID: I20110504000031 |
| Provider Name | Jan Schorpion |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639451891 PECOS PAC ID: 1052586070 Enrollment ID: I20111202000273 |
| Provider Name | Amy Travnicek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588971576 PECOS PAC ID: 9931356946 Enrollment ID: I20120827000693 |
| Provider Name | Brittney Locker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467740597 PECOS PAC ID: 1456570191 Enrollment ID: I20140911002001 |
| Provider Name | Michael Gardner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144699075 PECOS PAC ID: 0941504278 Enrollment ID: I20160208001060 |
| Provider Name | Kaitlyn Ostroski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982152682 PECOS PAC ID: 1254619422 Enrollment ID: I20161024001652 |
| Provider Name | James Bard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467977264 PECOS PAC ID: 6305110263 Enrollment ID: I20170916000386 |
| Provider Name | Candice Amat |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497061824 PECOS PAC ID: 1951531045 Enrollment ID: I20171109001521 |
| Provider Name | Alexis Hingle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720558133 PECOS PAC ID: 5193060820 Enrollment ID: I20181227000580 |
| Provider Name | Abbey Rose Liebert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326694357 PECOS PAC ID: 5294065033 Enrollment ID: I20190923000421 |
| Provider Name | Jenna Stasi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902452147 PECOS PAC ID: 4981934304 Enrollment ID: I20190927002284 |
| Provider Name | Leanne Updike |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710599444 PECOS PAC ID: 1456778059 Enrollment ID: I20200827002049 |
| Provider Name | Alejandro Costas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295310241 PECOS PAC ID: 3274941000 Enrollment ID: I20210416000234 |
| Provider Name | Sarah Woodford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942717707 PECOS PAC ID: 7719310689 Enrollment ID: I20220330000666 |
| Provider Name | Ariana Frank |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821781345 PECOS PAC ID: 8426412503 Enrollment ID: I20230907001932 |
| Provider Name | Logan Keedy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790477719 PECOS PAC ID: 7719341163 Enrollment ID: I20230918004162 |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Performance And Physical Therapies Hyde Park Llc 6023 Hammock Woods Dr, Odessa, FL 33556-3330 Ph: () - | Optimal Performance And Physical Therapies Hyde Park Llc 1501 W Cleveland St, Tampa, FL 33606-1806 Ph: (813) 418-7350 |
Mary Cathleen Brooke, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12425 Race Track Rd, Ste. 100, Tampa, FL 33626 Phone: 866-568-9068 Fax: 866-360-5916 | |
Mrs. Jennifer Michelle Terry, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11812 N 56th St, Tampa, FL 33617 Phone: 813-857-7800 Fax: 813-988-5837 | |
Eleanor Innocent, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3100 E Fletcher Ave, Tampa, FL 33613 Phone: 813-615-7200 | |
Sara Brett, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N West Shore Blvd, Suite 600, Tampa, FL 33609 Phone: 407-833-8815 | |
Kristen Webbers, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609 Phone: 866-839-6979 | |
Sophia Prassas, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609 Phone: 866-839-6979 | |
Jamie Birmingham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609 Phone: 866-839-6979 |