Joanne Zeidan Agil, PT DPT
Individual provider Active NPI Physical Therapist · Brandon, FL
NPI 1235601634 · NPPES record last updated Oct 12, 2022
Key facts
- NPI
- 1235601634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT36957 (FL)
- Practice address
- 560 S Lakewood Dr Ste 101
Brandon, FL 33511-5015 - Phone
- (813) 978-9700
- Fax
- (813) 588-6187
- NPI assigned
- Dec 23, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT295993 | CA | MD | Physical Therapist |
| PT36957 | FL | MD | Physical Therapist |
Networks
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT295993 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | PT295993 | CA | |
| Physical Therapist | 225100000X | PT36957 | FL | Yes |
Addresses
Primary practice location
560 S Lakewood Dr Ste 101
Brandon, FL 33511-5015
Mailing address
65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Phone (385) 308-8034
Other practice location 1
68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979
Other practice location 2
88 Rowland Way Ste 250
Novato, CA 94945-5062
Phone (415) 898-1311
Other names
- Joanne Zeidan
Other providers in Brandon, FL
- Michelle Afonso
- After Hours Pediatrics, Inc.
- Sanjay Agarwal
- Bolaji A Agbede
- Ageless Placements East Inc
- Aging Together Inc.
- Carolyn Elaine Agnew
- Katlyn Megan Agosta
- Natalie Aguilera
- Alma Patricia Aguirre
All providers in Brandon, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.