| Professional Physical Therapy And Associates Ltd Co | |
|
1316 S. Ridgewood Avenue, Suite 1, Edgewater, FL 32132 | |
| (386) 423-0100 | |
| (386) 428-8631 |
| Full Name | Professional Physical Therapy And Associates Ltd Co |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1316 S. Ridgewood Avenue, Edgewater, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255415550 | NPI | - | NPPES |
| 887120500 | Medicaid | FL | |
| Y921B | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Michelle L Applegate |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740399625 PECOS PAC ID: 9830168889 Enrollment ID: I20040928000152 |
| Provider Name | Jeffrey R Berner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275643397 PECOS PAC ID: 5395641047 Enrollment ID: I20080311000261 |
| Provider Name | Kendra L Bloomer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831584465 PECOS PAC ID: 9830485440 Enrollment ID: I20160908000683 |
| Provider Name | Austin Adams Donnelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578290094 PECOS PAC ID: 4880064104 Enrollment ID: I20230103001686 |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Physical Therapy And Associates Ltd Co 1316 S. Ridgewood Avenue, Suite 1, Edgewater, FL 32132 Ph: (386) 423-0100 | Professional Physical Therapy And Associates Ltd Co 1316 S. Ridgewood Avenue, Suite 1, Edgewater, FL 32132 Ph: (386) 423-0100 |
Professional Lymphedema Services Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2568 S Ridgewood Ave, Suite 3, Edgewater, FL 32141 Phone: 386-423-9322 Fax: 386-423-9330 | |
Jeffrey R Berner, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2568 S Ridgewood Avenue, Suite 1, Edgewater, FL 32141 Phone: 386-423-0100 Fax: 386-428-8631 | |
Miss Rebecca Lynn Cicchetti, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2568 S Ridgewood, Suite 1, Edgewater, FL 32141 Phone: 386-423-0100 Fax: 386-428-8831 | |
Austin Adams Donnelly, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1316 S Ridgewood Ave, Edgewater, FL 32132 Phone: 386-423-0100 | |
Mrs. Kristen Ann Hanak, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2568 S Ridgewood Ave, Edgewater, FL 32141 Phone: 386-423-9322 Fax: 386-423-9330 | |
Dr. Philp M Tremblay, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2568 S Ridgewood Ave, Suite 1, Edgewater, FL 32141 Phone: 386-423-0100 Fax: 386-428-8631 |