| Therapeutic Potentials, Inc | |
|
7334 Delainey Ct Lakewood Ranch FL 34240-8445 | |
| (941) 758-3140 | |
| (941) 870-4891 |
| Full Name | Therapeutic Potentials, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7334 Delainey Ct, Lakewood Ranch, Florida |
| Authorized Official Name and Position | Davon Rice (BILLING MANAGER) |
| Authorized Official Contact | 9417029973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Potentials, Inc 7334 Delainey Ct Lakewood Ranch FL 34240-8445 Ph: (941) 758-3140 | Therapeutic Potentials, Inc 7334 Delainey Ct Lakewood Ranch FL 34240-8445 Ph: (941) 758-3140 |
| NPI Number | 1013135169 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 07/29/2026 |
| Certification Date | 07/29/2026 |
| Medicare PECOS PAC ID | 5597660365 |
|---|---|
| Medicare Enrollment ID | O20171027000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013135169 | NPI | - | NPPES |
| 888464101 | Medicaid | FL | |
| 888464100 | Medicaid | FL | |
| 888464102 | Medicaid | FL |
| Provider Name | Maxine J Watson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417135351 PECOS PAC ID: 5294052197 Enrollment ID: I20150401002241 |
| Provider Name | Jennifer Colombo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053512079 PECOS PAC ID: 0941105720 Enrollment ID: I20171102003580 |
| Provider Name | Lauren Galvan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295059095 PECOS PAC ID: 5092161927 Enrollment ID: I20231027002532 |
| Provider Name | Kimberly Mcguire |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043415664 PECOS PAC ID: 2769839000 Enrollment ID: I20231108002865 |
| Provider Name | Zoe Richwine |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1912635871 PECOS PAC ID: 9830624741 Enrollment ID: I20241129000513 |
| Provider Name | Molly Barbara Daunt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457928954 PECOS PAC ID: 9739659764 Enrollment ID: I20260529004412 |
| Provider Name | Emily Rosa Champion |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427452291 PECOS PAC ID: 4789909110 Enrollment ID: I20260609001142 |
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