Tom Phan (NPI# 1114455458, PAC ID# 4587936059) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1114455458 |
| PAC ID by PECOS | 4587936059 |
| Professional Enrollment ID | I20170817002321 |
| Full Name | Tom Phan |
| Organization Legal Name | ADVANCED REHABILITATION, INC. |
| Address |
4367 Lynx Paw Trl Valrico FL 33596-7426 |
| Phone Number | 8136571208 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1355307398 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4539 S Dale Mabry Hwy, Suite 110, Tampa, FL 33611-1404 | 8132501208 | ADVANCED REHABILITATION, INC. |
| 4367 Lynx Paw Trl, Valrico, FL 33596-7426 | 8136571208 | ADVANCED REHABILITATION, INC. |
| Organization Legal Name | ADVANCED REHABILITATION, INC. |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Haughney Iii | Physical Therapy | Advanced Rehabilitation, Inc. | 4539 S Dale Mabry Hwy, Suite 110, Tampa, FL 33611-1404 |
| Logan A Arena | Physical Therapy | Advanced Rehabilitation, Inc. | 4367 Lynx Paw Trl, Valrico, FL 33596-7426 |
| Christopher A Arrigo | Physical Therapy | Advanced Rehabilitation, Inc. | 4367 Lynx Paw Trl, Valrico, FL 33596-7426 |
| Tyler Eisenbacher | Physical Therapy | Advanced Rehabilitation, Inc. | 4539 S Dale Mabry Hwy, Suite 110, Tampa, FL 33611-1404 |
| Kyle R Corrick | Physical Therapy | Advanced Rehabilitation, Inc. | 4367 Lynx Paw Trl, Valrico, FL 33596-7426 |
| Emilie J Thomas | Physical Therapy | Advanced Rehabilitation, Inc. | 4367 Lynx Paw Trl, Valrico, FL 33596-7426 |
| Street Address |
4367 LYNX PAW TRL |
| City | VALRICO |
| State | FL |
| Zip | 33596-7426 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Logan A Arena | Physical Therapy | Advanced Rehabilitation, Inc. | 4367 Lynx Paw Trl, Valrico, FL 33596-7426 |
| Christopher A Arrigo | Physical Therapy | Advanced Rehabilitation, Inc. | 4367 Lynx Paw Trl, Valrico, FL 33596-7426 |
| Kyle R Corrick | Physical Therapy | Advanced Rehabilitation, Inc. | 4367 Lynx Paw Trl, Valrico, FL 33596-7426 |
| Emilie J Thomas | Physical Therapy | Advanced Rehabilitation, Inc. | 4367 Lynx Paw Trl, Valrico, FL 33596-7426 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley F Lass | Psychologist, Clinical | 3005 Lithia Pinecrest Rd, Valrico, FL 33596-5630 | |
| Sheree A Wright | Optometry | Southern Eye Care Associates, LLC | 3307 Lithia Pinecrest Rd, Valrico, FL 33596-5636 |
| Branning Isaiah Hollis | Optometry | Southern Eye Care Associates, LLC | 3307 Lithia Pinecrest Rd, Valrico, FL 33596-5636 |
| Mona Vithal Kardani | Optometry | Southern Eye Care Associates, LLC | 3307 Lithia Pinecrest Rd, Valrico, FL 33596-5636 |
| Benjamin P Marquez | Family Medicine | Millennium Physician Group LLC | 2237 Lithia Ctr Ln, Valrico, FL 33596-5676 |
| Christy L Godbee Awe | Physician Assistant | Millennium Physician Group LLC | 2237 Lithia Ctr Ln, Valrico, FL 33596-5676 |
| Leah Marie Blizard | Physician Assistant | Millennium Physician Group LLC | 2237 Lithia Ctr Ln, Valrico, FL 33596-5676 |
| Kenneth S Reiss | Family Medicine | Millennium Physician Group LLC | 2237 Lithia Ctr Ln, Valrico, FL 33596-5676 |
| Darren Blakeslee | Nurse Practitioner | Millennium Physician Group LLC | 2237 Lithia Ctr Ln, Valrico, FL 33596-5676 |
| Momina Qazi | Internal Medicine | Millennium Physician Group LLC | 2237 Lithia Ctr Ln, Valrico, FL 33596-5676 |
| Find all physicians in zip 33596 | |||
| City | VALRICO |
| Zip Code | 33596 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | VALRICO + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.