Pure PT Physical Therapy LLC

PAC ID

6406218924The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Physical/Occupational Therapy Group in Private Practice

Enrolled in

FL

Enrollments

1

Group size

4 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

2In 2 places

Enrollment records 1

These NPI records belong to the same enrolled organization. Each has its own page.

• Pure PT Physical Therapy LLC

  • Physical Therapist
  • Orange City, FL
  • NPI 1417633868
• Pure PT Physical Therapy LLC

  • Physical Therapist
  • Lake Mary, FL
  • NPI 1588539142

Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (4).

• Paul Kudlick, PT, DPT

  • Physical Therapist
  • Orange City, FL
  • NPI 1194239459
• Ivans Melidor, DPT

  • Physical Therapist
  • Orange City, FL
  • NPI 1679372270
• Alyssa Ann Pearson

  • Physical Therapist
  • Orange City, FL
  • NPI 1326895327
• Regina Samaan

  • Physical Therapist
  • Lake Mary, FL
  • NPI 1790595932
• Rita Samaan

  • Physical Therapist
  • Orange City, FL
  • NPI 1023904273

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.