| Prime Sports Physical Therapy | |
|
2601 S Bayshore Dr, 7th Fl Garage Level, Coconut Grove, FL 33133-5417 | |
| (646) 342-8214 | |
| Not Available |
| Full Name | Prime Sports Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2601 S Bayshore Dr, Coconut Grove, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396054896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 24615 (Florida) | Primary |
| Provider Name | Eugene Jang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245549732 PECOS PAC ID: 6103008982 Enrollment ID: I20110316000025 |
| Provider Name | Danielle Marie Pelletier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811941131 PECOS PAC ID: 0244242931 Enrollment ID: I20181215000123 |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Sports Physical Therapy 247 Sw 8th St, #163, Miami, FL 33130-3529 Ph: (646) 342-8214 | Prime Sports Physical Therapy 2601 S Bayshore Dr, 7th Fl Garage Level, Coconut Grove, FL 33133-5417 Ph: (646) 342-8214 |
Mr. Eugene Jang, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2601 S Bayshore Dr, 7th Fl Garage Level, Coconut Grove, FL 33133 Phone: 646-342-8214 | |
Dr. Chelsea Louise Forte, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3305 Rice St, Coconut Grove, FL 33133 Phone: 305-792-8393 | |
Stephanie Sprout, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3316 Virginia St, Coconut Grove, FL 33133 Phone: 305-446-6899 | |
Carlos Ernesto Lopez Novoa, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3250 Mary St, Coconut Grove, FL 33133 Phone: 305-448-8100 Fax: 305-448-8100 | |
Dr. Sabine Gempel, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3316 Virginia St, Coconut Grove, FL 33133 Phone: 305-446-6899 | |
Stephanie Freyre, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2601 South Bayshore Drive, 7th Floor Garage, Coconut Grove, FL 33133 Phone: 305-798-5612 |