Mrs Anita A Buckley, PT | |
255 Great Valley Pkwy, Ste 140, Malvern, PA 19355-1300 | |
(610) 981-6411 | |
(610) 981-6402 |
Full Name | Mrs Anita A Buckley |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 255 Great Valley Pkwy, Malvern, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053427948 | NPI | - | NPPES |
1750739 | Other | PA | PA BLUE SHIELD |
102567448-0001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA01101900 (New Jersey) | Secondary |
225100000X | Physical Therapist | PT-020453 (Pennsylvania) | Primary |
Provider Name | Premier Orthopaedic And Sports Medicine Associates, Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215987243 PECOS PAC ID: 5890681092 Enrollment ID: O20040225000221 |
Mailing Address | Practice Location Address |
---|---|
Mrs Anita A Buckley, PT 2 W 10th St, Marcus Hook, PA 19061-4513 Ph: (610) 859-8850 | Mrs Anita A Buckley, PT 255 Great Valley Pkwy, Ste 140, Malvern, PA 19355-1300 Ph: (610) 981-6411 |
Erica Marie Brooks, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 233 E King St Ste 103, Malvern, PA 19355 Phone: 484-318-7214 Fax: 484-318-7190 | |
Advanced Spine And Sports Therapy Center Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 266 Lancaster Ave, Suite 200, Malvern, PA 19355 Phone: 610-644-6900 | |
Ms. Anya Eden Boswell, P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 254 Lancaster Ave, Malvern, PA 19355 Phone: 610-644-7750 Fax: 610-644-8290 | |
Mr. Kraig Randolph Gualtieri, PT,MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 266 Lancaster Ave, Malvern, PA 19355 Phone: 610-640-4133 Fax: 610-640-0630 | |
Rebecca Detweiler, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 254 Lancaster Ave, Malvern, PA 19355 Phone: 610-644-7755 Fax: 610-644-8290 | |
Synergy Sports & Orthopedic Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 365 Lancaster Ave, Suite 4, Malvern, PA 19355 Phone: 484-686-1484 |