Lucas J Shallenberger (NPI# 1568944692, PAC ID# 0143574046) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1568944692 |
| PAC ID by PECOS | 0143574046 |
| Professional Enrollment ID | I20181113000545 |
| Full Name | Lucas J Shallenberger |
| Organization Legal Name | BODY IN BALANCE INC |
| Address |
4442 5th St W Bradenton FL 34207-1531 |
| Phone Number | 9417582111 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0042259921 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4442 5th St W, Bradenton, FL 34207-1531 | 9417582111 | BODY IN BALANCE INC |
| Organization Legal Name | BODY IN BALANCE INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nichole M Harold | Physical Therapy | Body In Balance Inc | 4442 5th St W, Bradenton, FL 34207-1531 |
| Robert J Harold | Physical Therapy | Body In Balance Inc | 4442 5th St W, Bradenton, FL 34207-1531 |
| Street Address |
4442 5TH ST W |
| City | BRADENTON |
| State | FL |
| Zip | 34207-1531 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nichole M Harold | Physical Therapy | Body In Balance Inc | 4442 5th St W, Bradenton, FL 34207-1531 |
| Robert J Harold | Physical Therapy | Body In Balance Inc | 4442 5th St W, Bradenton, FL 34207-1531 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose F Estigarribia | General Surgery | 4810 26th W St, Bradenton, FL 34207 | |
| Madison A Easterling | Optometry | Eye Center Inc | 2003 Cortez Rd W, Bradenton, FL 34207-1289 |
| Brad S Laudicina | Optometry | Eye Center Inc | 2003 Cortez Rd W, Bradenton, FL 34207-1289 |
| Paige G Laudicina | Optometry | Eye Center Inc | 2003 Cortez Rd W, Bradenton, FL 34207-1289 |
| Michael Alan Mackie | Optometry | Eye Center Inc | 2003 Cortez Rd W, Bradenton, FL 34207-1289 |
| Randall Allen Brown | Physical Therapy | Cortez Foot and Ankle Specialists P.a. | 1800 Cortez Rd W, Bradenton, FL 34207-1335 |
| Philip J Baldinger | Podiatry | Cortez Foot and Ankle Specialists P.a. | 1800 Cortez Rd W, Bradenton, FL 34207-1335 |
| Christopher J Addison | Podiatry | Cortez Foot and Ankle Specialists P.a. | 1800 Cortez Rd W, Bradenton, FL 34207-1335 |
| Garrett L Harte | Podiatry | Cortez Foot and Ankle Specialists P.a. | 1800 Cortez Rd W, Bradenton, FL 34207-1335 |
| Pablo E Der Boghossian | Physical Therapy | Cortez Foot and Ankle Specialists P.a. | 1800 Cortez Rd W, Bradenton, FL 34207-1335 |
| Find all physicians in zip 34207 | |||
| City | BRADENTON |
| Zip Code | 34207 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BRADENTON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Lucas J Shallenberger.
| 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.