| Marisa Hastings, | |
|
4316 Lee Blvd Unit 12b, Lehigh Acres, FL 33971-1735 | |
| (239) 368-7744 | |
| Not Available |
| Full Name | Marisa Hastings |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4316 Lee Blvd Unit 12b, Lehigh Acres, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043047749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT43670 (Florida) | Primary |
| 225100000X | Physical Therapist | (Massachusetts) | Secondary |
| 225100000X | Physical Therapist | (Maryland) | Secondary |
| Provider Name | Ati Holdings, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20140610001109 |
| Mailing Address | Practice Location Address |
|---|---|
| Marisa Hastings, 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: () - | Marisa Hastings, 4316 Lee Blvd Unit 12b, Lehigh Acres, FL 33971-1735 Ph: (239) 368-7744 |
Margarita Harris, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4316 Lee Blvd, 12a & 12b, Lehigh Acres, FL 33971 Phone: 239-368-7744 Fax: 239-368-7824 | |
Bopinder Singh, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1150 Lee Blvd Ste 3, Lehigh Acres, FL 33936 Phone: 239-369-3799 | |
Peter Armetta, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4316 Lee Blvd Unit 12b, Lehigh Acres, FL 33971 Phone: 239-368-7744 Fax: 239-368-7824 | |
Mrs. Emily Ann Kupper, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2724 5th St W Ste A, Lehigh Acres, FL 33971 Phone: 239-303-1501 Fax: 888-803-9101 | |
Katherine Anne Sellaroli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4316 Lee Blvd Unit 12b, Lehigh Acres, FL 33971 Phone: 239-368-7744 | |
Annie Elizabeth Willsey, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4316 Lee Blvd Unit 12b, Lehigh Acres, FL 33971 Phone: 239-368-7744 |