| Complete Orthopedic And Sports Therapy Llc | |
|
155 Main St, Manasquan, NJ 08736-3544 | |
| (412) 480-5640 | |
| Not Available |
| Full Name | Complete Orthopedic And Sports Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 155 Main St, Manasquan, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073036398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Lukas I Delorenzo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841621778 PECOS PAC ID: 8426288473 Enrollment ID: I20140313000849 |
| Provider Name | Kimberly C Salvato |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356715890 PECOS PAC ID: 3375845233 Enrollment ID: I20160108001303 |
| Provider Name | Matthew K Heim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922554922 PECOS PAC ID: 8224326848 Enrollment ID: I20161014001322 |
| Provider Name | Daniel J Gross |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619524394 PECOS PAC ID: 9436583648 Enrollment ID: I20200102000186 |
| Provider Name | Anne Mcculloch Pringle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891446209 PECOS PAC ID: 9638563240 Enrollment ID: I20220224002277 |
| Provider Name | Jake Tavernite |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487223525 PECOS PAC ID: 8123499928 Enrollment ID: I20230113000278 |
| Provider Name | Richard Joseph Bohnert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548046428 PECOS PAC ID: 1951753417 Enrollment ID: I20240119002678 |
| Provider Name | Craig Suchecki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386408805 PECOS PAC ID: 3870934128 Enrollment ID: I20240517000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Orthopedic And Sports Therapy Llc 155 Main St, Manasquan, NJ 08736-3544 Ph: (412) 480-5640 | Complete Orthopedic And Sports Therapy Llc 155 Main St, Manasquan, NJ 08736-3544 Ph: (412) 480-5640 |