| Creative Health Care Management, Llc | |
|
1120 33rd Ave W Bradenton FL 34205-6219 | |
| (317) 204-3736 | |
| Not Available |
| Full Name | Creative Health Care Management, Llc |
|---|---|
| Speciality | Physical Therapist |
| Location | 1120 33rd Ave W, Bradenton, Florida |
| Authorized Official Name and Position | Misty D Beaudry-zobel (MEDICAL REIMBURSEMENT COORDINATOR) |
| Authorized Official Contact | 3172043736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Health Care Management, Llc 10 S 9th St Ste 4 Noblesville IN 46060-2631 Ph: (317) 708-6496 | Creative Health Care Management, Llc 1120 33rd Ave W Bradenton FL 34205-6219 Ph: (317) 204-3736 |
| NPI Number | 1790302164 |
|---|---|
| Provider Enumeration Date | 07/01/2020 |
| Last Update Date | 12/21/2020 |
| Medicare PECOS PAC ID | 4385929892 |
|---|---|
| Medicare Enrollment ID | O20200727001211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790302164 | NPI | - | NPPES |
| Provider Name | Onsi N Derias |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841340254 PECOS PAC ID: 2466421094 Enrollment ID: I20040930000796 |
| Provider Name | Edwin L Ballada |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891828927 PECOS PAC ID: 8628369345 Enrollment ID: I20160627001874 |
| Provider Name | Cynthia Ma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952889024 PECOS PAC ID: 5395098529 Enrollment ID: I20181105002461 |
| Provider Name | Daniel Cummings |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1013219104 PECOS PAC ID: 5294062840 Enrollment ID: I20190806001376 |
| Provider Name | William Ross Kretzmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033727888 PECOS PAC ID: 3476978495 Enrollment ID: I20200807002294 |
| Provider Name | Kara M Clayton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487879508 PECOS PAC ID: 3971540469 Enrollment ID: I20200825001205 |
| Provider Name | Vicozette T Alegado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104112804 PECOS PAC ID: 0547670523 Enrollment ID: I20201103000112 |
| Provider Name | Jamie Marie Martin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285759555 PECOS PAC ID: 6608287149 Enrollment ID: I20201204001117 |
| Provider Name | Levi Bristow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205171980 PECOS PAC ID: 1355640798 Enrollment ID: I20210322001973 |
| Provider Name | Ryan Delsignore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518505379 PECOS PAC ID: 3577962893 Enrollment ID: I20210518003086 |
| Provider Name | Patricia Ritter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417531617 PECOS PAC ID: 7719386051 Enrollment ID: I20210519000419 |
| Provider Name | Michelle Lee Hubbard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164060174 PECOS PAC ID: 1254730310 Enrollment ID: I20210524000905 |
| Provider Name | Taylor Meredith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093398950 PECOS PAC ID: 1355747817 Enrollment ID: I20210908002510 |
| Provider Name | Michael Ngo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093329674 PECOS PAC ID: 0749686988 Enrollment ID: I20210913003495 |
| Provider Name | Ines Burkhardt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730744855 PECOS PAC ID: 1052654274 Enrollment ID: I20211020001074 |
| Provider Name | Jennifer Edmister |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861043572 PECOS PAC ID: 4688062730 Enrollment ID: I20211022001516 |
| Provider Name | Cailyn Darlene Zornes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427605492 PECOS PAC ID: 9739571357 Enrollment ID: I20220111002143 |
| Provider Name | Jillmary Chazhicattu |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225320948 PECOS PAC ID: 3476947003 Enrollment ID: I20220224003170 |
| Provider Name | Heather Stein |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386081032 PECOS PAC ID: 7012271281 Enrollment ID: I20220413002698 |
| Provider Name | Joanna Samson Cruz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790961555 PECOS PAC ID: 3577959717 Enrollment ID: I20220415000074 |
| Provider Name | Karissa Solomon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467764746 PECOS PAC ID: 6507052990 Enrollment ID: I20220714000234 |
| Provider Name | Rachelle Lefevre |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093434052 PECOS PAC ID: 4082099742 Enrollment ID: I20220915002237 |
| Provider Name | Nathan Ward Bennett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972635365 PECOS PAC ID: 7416320346 Enrollment ID: I20230223002949 |
| Provider Name | Anoop V Nair |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689389413 PECOS PAC ID: 2769849207 Enrollment ID: I20230527000027 |
| Provider Name | Suma Suresh Nair |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275808065 PECOS PAC ID: 4183081466 Enrollment ID: I20230531002831 |
| Provider Name | Likecia Luckey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558772301 PECOS PAC ID: 2567811193 Enrollment ID: I20231207004154 |
| Provider Name | Yrline Seraphin Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194587568 PECOS PAC ID: 7214373885 Enrollment ID: I20240306002345 |
| Provider Name | Mariah Edwards |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932965613 PECOS PAC ID: 8820434848 Enrollment ID: I20240313001991 |
| Provider Name | Xenia Andrzejewski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568614519 PECOS PAC ID: 5597018218 Enrollment ID: I20240502001715 |
| Provider Name | Crystal Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942916762 PECOS PAC ID: 0547704678 Enrollment ID: I20240701001881 |
| Provider Name | Nicole C Himmelman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184865677 PECOS PAC ID: 7810434727 Enrollment ID: I20240808002388 |
| Provider Name | Alexandria Price |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396564837 PECOS PAC ID: 7911431366 Enrollment ID: I20241107004317 |
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