FARESE PHYSICAL THERAPY INC (NPI# 1710945704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710945704 |
| Entity Type | Organization |
| Organization Name | FARESE PHYSICAL THERAPY INC |
| Practice Address |
7005 4th St N St Petersburg FL 33702-5909 |
| Practice Telephone | 7272094545 |
| Practice Fax Number | 7272094546 |
| Mailing Telephone | 7272094545 |
| Mailing Fax Number | 7272094546 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | MRS. PATRICIA FARESE (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 7278960066 |
| Authorized Official Credential | MHS, MBS, PT, CH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT4310 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 886130700 | 05 |
| Street Address |
7005 4TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33702-5909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154620219 | Jill Renee Pahl | Acupuncturist | 7005 4th St N, Suite 3, St Petersburg, FL 33702-5909 | 2011-03-15 |
| 1982902060 | Healthy Being LLC | Nutritionist | 7005 4th St N, Suite 3, St Petersburg, FL 33702-5909 | 2011-03-14 |
| 1659491769 | Marie S Jeoboam | Family Medicine | 7005 4th St N, Suite 1, St Petersburg, FL 33702-5909 | 2007-03-30 |
| 1053453845 | Patricia L Farese | Physical Therapist | 7005 4th St N, St Petersburg, FL 33702-5909 | 2007-02-12 |
| 1457305286 | Cynthia A. Paganini | Internal Medicine | 7005 4th St N, Suite 1, St Petersburg, FL 33702-5901 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419637 | Lea Diana Stemplewski | Occupational Therapist | 8950 Dr. Mlk Jr. St. North, Ste 190, St. Petersburg, FL 33702 | 2020-02-19 |
| 1366919557 | Svetlana Nagle | Nurse Practitioner | 10601 Gandy Blvd. N., 5305, St Petersburg, FL 33702 | 2018-10-25 |
| 1457835613 | Joseph Kirchmer | Physical Therapy Assistant | 7101 9th St N, St Petersburg, FL 33702 | 2018-09-23 |
| 1386135176 | Valencia Gibson | Behavior Technician | 8950 Doctor Martin Luther King Jr Street North, 190, Saint Petersburg, FL 33702 | 2018-05-29 |
| 1740778760 | Nicole S Kapr | Behavior Technician | 8950 Doctor Mlk Street North, 190, St. Petersburg, FL 33702 | 2018-04-25 |
| 1003316050 | Sonya Lesnefsky | Behavior Technician | 8950 Dr Mlk St N #190, Saint Petersburg, FL 33702 | 2018-02-16 |
| 1003315086 | Erin Nicole Rogers | Behavior Technician | 8950 Dr Mlk Jr St N, #190, St Petersburg, FL 33702 | 2018-02-06 |
| 1881192482 | Carrie Langbo | Genetic Counselor, MS | Informeddna, 877 Executive Center Drive W, Suite 206, St. Petersburg, FL 33702 | 2018-01-29 |
| 1891203485 | Healthy Lifestyles Tampa Bay LLC | Psychologist | 8479 Dr Martin Luther King Jr St N, St Petersburg, FL 33702 | 2018-01-17 |
| 1649787235 | Gurdeep Singh | Behavior Technician | 8950 Dr Mlk Street N, Suite 190, Saint Petersburg, FL 33702 | 2018-01-04 |
| Find all providers in zip 33702 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336626290 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 900 Carillon Pkwy Ste 106, St Petersburg, FL 33716-1117 | 2018-07-24 |
| 1477814226 | Primacare Injury Center, Inc. | Clinic/Center | 3236 Mlk St N, St Petersburg, FL 33704-1202 | 2012-06-07 |
| 1841599842 | Sc Physicians LLC | Clinic/Center | 610 7th St S, St Petersburg, FL 33701 | 2011-03-17 |
| 1346455979 | Home Recovery Systems | Clinic/Center | 1346 Eden Isle Blvd Ne, St Petersburg, FL 33704-2417 | 2007-05-14 |
| 1588697775 | Excel Physical Therapy | Clinic/Center | 7500 4th St N, St Petersburg, FL 33702-5410 | 2006-07-09 |
| 1295381119 | Forward Physical Therapy, LLC | Clinic/Center | 3236 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-1202 | 2019-08-15 |
| 1386298172 | Femmempowerment and Advocacy | Clinic/Center | 1405 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-3301 | 2019-07-30 |
| 1366929226 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 3745 33rd St N Ste A, St Petersburg, FL 33713-1506 | 2018-07-24 |
| 1083131676 | Peaceful Warriors Wellness Center | Clinic/Center | 19 Dr Martin Luther King Jr St S, St Petersburg, FL 33705 | 2017-08-24 |
| 1376920637 | Bay Injury Physical Therapy Inc | Clinic/Center | 4800 4th St N, St Petersburg, FL 33703-3817 | 2015-05-06 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33702 |
Please comment or provide details below to improve the information on FARESE PHYSICAL THERAPY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.