Derek Everett, | |
214 6th St, Honesdale, PA 18431-1801 | |
(570) 228-2142 | |
(570) 228-2349 |
Full Name | Derek Everett |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 214 6th St, Honesdale, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831952548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT032035 (Pennsylvania) | Primary |
Provider Name | Pivot Physical Therapy Of Pennsylvania Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881132488 PECOS PAC ID: 4981971843 Enrollment ID: O20170515000834 |
Mailing Address | Practice Location Address |
---|---|
Derek Everett, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (570) 550-0168 | Derek Everett, 214 6th St, Honesdale, PA 18431-1801 Ph: (570) 228-2142 |
Joseph Pichiarello, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 232 Sunrise Ave, Honesdale, PA 18431 Phone: 570-251-8003 Fax: 570-251-8005 | |
Kevin Patrick Dunn, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 232 Sunrise Ave, Honesdale, PA 18431 Phone: 570-251-8003 Fax: 570-251-8005 | |
Mrs. Meegan Lee Murray, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1095 Texas Palmyra Hwy Ste 1, Honesdale, PA 18431 Phone: 570-616-0665 Fax: 570-616-0669 | |
Amy C Grossman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1095 Texas Palmyra Hwy, Ste 1, Honesdale, PA 18431 Phone: 570-616-0665 Fax: 570-616-0669 | |
Joseph C Murray, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1095 Texas Palmyra Hwy Ste 1, Honesdale, PA 18431 Phone: 570-616-0665 Fax: 570-616-0669 | |
Sydney Taylor Goyette, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 Brook Rd, Honesdale, PA 18431 Phone: 570-647-5454 | |
Mr. Jeffrey Mark Richards, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 Park St, Honesdale, PA 18431 Phone: 570-253-8100 |