| Dr James Vincent Bianchi Iii, DPT | |
|
179 Linwood Ave Unit A-4, Colchester, CT 06415-1160 | |
| (860) 603-3900 | |
| Not Available |
| Full Name | Dr James Vincent Bianchi Iii |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 179 Linwood Ave Unit A-4, Colchester, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013630888 | NPI | - | NPPES |
| LPT-32646 | Other | AZ | ARIZONA STATE BOARD OF PHYSICAL THERAPY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 13635 (Connecticut) | Primary |
| Entity Name | Apexnetwork Sierra Vista Pllc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1083098677 PECOS PAC ID: 7012227275 Enrollment ID: O20151030001762 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Vincent Bianchi Iii, DPT 8 Canterbury Ln Apt 2, Clinton, CT 06413-2154 Ph: (860) 304-1618 | Dr James Vincent Bianchi Iii, DPT 179 Linwood Ave Unit A-4, Colchester, CT 06415-1160 Ph: (860) 603-3900 |
Jeremy Tulledge Mitchell, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 171 Norwich Ave, Colchester, CT 06415 Phone: 860-537-3014 Fax: 860-537-1420 | |
Mrs. Rebecca Lynn Mulcahy, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 179 Linwood Ave Unit A-4, Colchester, CT 06415 Phone: 860-603-3900 |