Tyler W Long, PT, DPT | |
25 Lively Stream Way Bldg 254, Gettysburg, PA 17325-6021 | |
(717) 337-4515 | |
Not Available |
Full Name | Tyler W Long |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 25 Lively Stream Way Bldg 254, Gettysburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144733791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 26771 (Maryland) | Secondary |
225100000X | Physical Therapist | PT030247 (Pennsylvania) | Primary |
Provider Name | Wellspan Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
Mailing Address | Practice Location Address |
---|---|
Tyler W Long, PT, DPT 187 Thomas Johnson Dr Ste 6, Frederick, MD 21702-4382 Ph: (301) 473-5945 | Tyler W Long, PT, DPT 25 Lively Stream Way Bldg 254, Gettysburg, PA 17325-6021 Ph: (717) 337-4515 |
Martin Allen Fees, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16c Deatrick Drive, Gettysburg, PA 17325 Phone: 717-337-3300 Fax: 717-337-2977 | |
Elliott James Kohr, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 867 York Rd, Gettysburg, PA 17325 Phone: 717-337-1844 | |
Trista Dixon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10 Springs Ave, Gettysburg, PA 17325 Phone: 717-334-6834 Fax: 717-334-3923 | |
Mr. Marcus Kyle Mcgill, MS, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 Chambersburg Rd, Gettysburg, PA 17325 Phone: 717-337-4206 | |
Hayley Michelle Kidd, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 237 Savannah Dr, Gettysburg, PA 17325 Phone: 717-756-2139 | |
Valerie Kay Rodemer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16c Deatrick Drive, Gettysburg, PA 17325 Phone: 717-337-3300 Fax: 717-337-2977 |