| Motion Medical Group, Llc | |
|
1301 2nd Ave Sw Ste 306 Largo FL 33770-3120 | |
| (855) 920-2377 | |
| Not Available |
| Full Name | Motion Medical Group, Llc |
|---|---|
| Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
| Location | 1301 2nd Ave Sw Ste 306, Largo, Florida |
| Authorized Official Name and Position | Keiko Sargent (HEAD OF CLINICAL OPERATIONS) |
| Authorized Official Contact | 8559202377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Motion Medical Group, Llc 2050 5th Ave Concord CA 94518-1109 Ph: (619) 253-3267 | Motion Medical Group, Llc 1301 2nd Ave Sw Ste 306 Largo FL 33770-3120 Ph: (855) 920-2377 |
| NPI Number | 1083339147 |
|---|---|
| Provider Enumeration Date | 10/11/2022 |
| Last Update Date | 09/25/2024 |
| Medicare PECOS PAC ID | 9234500158 |
|---|---|
| Medicare Enrollment ID | O20230922002976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083339147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | Deborah Renelus-marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275844482 PECOS PAC ID: 2365605086 Enrollment ID: I20170125002749 |
| Provider Name | Mark David Lueck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598874265 PECOS PAC ID: 2062314800 Enrollment ID: I20210713003287 |
| Provider Name | Christian J Pacheco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043435266 PECOS PAC ID: 1052713740 Enrollment ID: I20210719001009 |
| Provider Name | Wessam M Gerguis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548795644 PECOS PAC ID: 1355724428 Enrollment ID: I20220823001300 |
| Provider Name | Asma Siddiqui |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639187503 PECOS PAC ID: 8527059773 Enrollment ID: I20221102003397 |
| Provider Name | Jayshal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649809955 PECOS PAC ID: 2264862192 Enrollment ID: I20230822001263 |
| Provider Name | William Buchanan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700953643 PECOS PAC ID: 5890712574 Enrollment ID: I20240123004846 |
| Provider Name | Anthony Digirolamo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356781835 PECOS PAC ID: 8729304514 Enrollment ID: I20240909000336 |
| Provider Name | Carrie Lea Bequette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306095401 PECOS PAC ID: 1759814080 Enrollment ID: I20241025000068 |
| Provider Name | Jake Wood Putnam Bagley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174914147 PECOS PAC ID: 8921430018 Enrollment ID: I20241031000304 |
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