| Shannon Bogle, PT | |
|
2106 S Lois Ave, Tampa, FL 33629-5659 | |
| (813) 287-9370 | |
| Not Available |
| Full Name | Shannon Bogle |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 2106 S Lois Ave, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851401582 | NPI | - | NPPES |
| P00465914 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT12643 (Florida) | Primary |
| Provider Name | Orthopedic Specialists, Llp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588702450 PECOS PAC ID: 2466446992 Enrollment ID: O20040408001088 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Bogle, PT 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 Ph: () - | Shannon Bogle, PT 2106 S Lois Ave, Tampa, FL 33629-5659 Ph: (813) 287-9370 |
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 |