| Island Sports Physical Therapy Of Coram Pc | |
|
607 Middle Country Road, Coram, NY 11727 | |
| (631) 732-3900 | |
| (631) 732-3900 |
| Full Name | Island Sports Physical Therapy Of Coram Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 607 Middle Country Road, Coram, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083681613 | NPI | - | NPPES |
| 14816 | Other | NY | VYTRA |
| 2C0907 | Other | NY | HEALTHNET |
| A384995 | Other | NY | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (New York) | Primary |
| Provider Name | Amy W Maragioglio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003881079 PECOS PAC ID: 7719875327 Enrollment ID: I20040305000896 |
| Provider Name | James Kevin Pierre-glaude |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477833432 PECOS PAC ID: 1052584505 Enrollment ID: I20111029000007 |
| Provider Name | Kevin James Roden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730154899 PECOS PAC ID: 0345386462 Enrollment ID: I20120210000108 |
| Provider Name | Tyler Roden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043692031 PECOS PAC ID: 5193092179 Enrollment ID: I20170523000127 |
| Provider Name | Kari Aileen Delemarre Brand |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811606247 PECOS PAC ID: 6800268673 Enrollment ID: I20230206001114 |
| Provider Name | Zachary L Forman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437932787 PECOS PAC ID: 2769839208 Enrollment ID: I20231106001838 |
| Mailing Address | Practice Location Address |
|---|---|
| Island Sports Physical Therapy Of Coram Pc 607 Middle Country Road, Coram, NY 11727 Ph: (631) 732-3900 | Island Sports Physical Therapy Of Coram Pc 607 Middle Country Road, Coram, NY 11727 Ph: (631) 732-3900 |
Mrs. Amy W Maragioglio, PT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 607 Middle Country Road, Coram, NY 11727 Phone: 631-732-3900 Fax: 631-732-3908 | |
James Cutreal Phillips, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 607 Middle Country Rd, Coram, NY 11727 Phone: 631-732-3900 | |
Tyler Roden, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 607 Middle Country Rd, Coram, NY 11727 Phone: 631-732-3900 | |
Susan Neel Gilleeny Behrens, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 607 Middle Country Rd, Coram, NY 11727 Phone: 631-732-3900 Fax: 631-732-3908 | |
Kathryn Laino, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 Wellsley Ln, Coram, NY 11727 Phone: 631-478-1885 | |
John Joel Uy, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 22 Camp Fire Ln, Coram, NY 11727 Phone: 631-451-0225 |