| Premier Physical Therapy Llc | |
|
2690 Sw 22nd St Unit 3, Coral Gables, FL 33145-3406 | |
| (305) 570-1666 | |
| (305) 203-0546 |
| Full Name | Premier Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center |
| Location | 2690 Sw 22nd St Unit 3, Coral Gables, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316427461 | NPI | - | NPPES |
| PTA24456 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT26790 (Florida) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Andres F Zapata |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750328316 PECOS PAC ID: 1759357726 Enrollment ID: I20040909001378 |
| Provider Name | Evelyn Capdevila |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821235854 PECOS PAC ID: 2860469681 Enrollment ID: I20040913000304 |
| Provider Name | Jenny De Marziani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063598530 PECOS PAC ID: 8426195314 Enrollment ID: I20200529002287 |
| Provider Name | Carlos L Nicado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396349064 PECOS PAC ID: 9436559358 Enrollment ID: I20210615002109 |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Physical Therapy Llc 2690 Sw 22nd St Unit 3, Coral Gables, FL 33145-3406 Ph: (305) 570-1666 | Premier Physical Therapy Llc 2690 Sw 22nd St Unit 3, Coral Gables, FL 33145-3406 Ph: (305) 570-1666 |