| Emergeortho Pa | |
|
120 William Penn Plaza Durham NC 27704-2150 | |
| (919) 220-5255 | |
| (919) 313-1276 |
| Full Name | Emergeortho Pa |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 120 William Penn Plaza, Durham, North Carolina |
| Authorized Official Name and Position | Darci Harvey (DIRECTOR OF VBO) |
| Authorized Official Contact | 7049424391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emergeortho Pa 120 William Penn Plaza Durham NC 27704-2150 Ph: (919) 220-5255 | Emergeortho Pa 120 William Penn Plaza Durham NC 27704-2150 Ph: (919) 220-5255 |
| NPI Number | 1376592964 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 11/09/2022 |
| Certification Date | 11/09/2022 |
| Medicare PECOS PAC ID | 0749188894 |
|---|---|
| Medicare Enrollment ID | O20031229000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376592964 | NPI | - | NPPES |
| 0401990001 | Other | NC | MEDICARE PTAN |
| 02837 | Other | NC | BCBS |
| 0098095 | Other | NC | AETNA, HMO |
| 722786 | Other | NC | UPMC |
| CC8880 | Other | NC | RAILROAD MEDICARE |
| 0004446928 | Other | NC | AETNA, PPO |
| 371772200 | Other | NC | US DEPT. OF LABOR |
| 8902837 | Medicaid | NC |
| Provider Name | Jennifer Young Sexton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689786766 PECOS PAC ID: 8325027162 Enrollment ID: I20040715001082 |
| Provider Name | Scott Alan Bartels |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750320651 PECOS PAC ID: 7719947183 Enrollment ID: I20041012000460 |
| Provider Name | John D Walkerwicz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881612588 PECOS PAC ID: 9335101344 Enrollment ID: I20041102000430 |
| Provider Name | Kevin Lee Holland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366498958 PECOS PAC ID: 4183687833 Enrollment ID: I20041104000616 |
| Provider Name | Susan C. Kimel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013956614 PECOS PAC ID: 7416865381 Enrollment ID: I20041109000125 |
| Provider Name | Gregory Alan Burnett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679538243 PECOS PAC ID: 3971552787 Enrollment ID: I20050119000698 |
| Provider Name | Philip Caraher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508006644 PECOS PAC ID: 3375539075 Enrollment ID: I20050221000422 |
| Provider Name | Christine M Walkerwicz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700892379 PECOS PAC ID: 5991752818 Enrollment ID: I20050404000342 |
| Provider Name | Amy Lynn Ellington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144201187 PECOS PAC ID: 0244276699 Enrollment ID: I20050707000350 |
| Provider Name | Tung T Vo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669485553 PECOS PAC ID: 3779503800 Enrollment ID: I20051202000708 |
| Provider Name | Maureen M Mccarthy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124075403 PECOS PAC ID: 7012938764 Enrollment ID: I20051209000542 |
| Provider Name | Beth M Martin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942277504 PECOS PAC ID: 3779592936 Enrollment ID: I20060417000335 |
| Provider Name | Michele M Marren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336104991 PECOS PAC ID: 7416968284 Enrollment ID: I20060508000578 |
| Provider Name | Andrea Q Westbrook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649200338 PECOS PAC ID: 0547267080 Enrollment ID: I20061026000201 |
| Provider Name | Linda S Bennett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871570077 PECOS PAC ID: 3274533302 Enrollment ID: I20070112000462 |
| Provider Name | George Floyd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558470435 PECOS PAC ID: 0547262388 Enrollment ID: I20070208000165 |
| Provider Name | Tammy K Elliott |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396859815 PECOS PAC ID: 0648377754 Enrollment ID: I20070524000710 |
| Provider Name | Julie O Lemley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972607596 PECOS PAC ID: 7416056874 Enrollment ID: I20070626000259 |
| Provider Name | Steven Michael Walton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508829631 PECOS PAC ID: 3375643034 Enrollment ID: I20070710000707 |
| Provider Name | Annalarsa W Russ |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649325176 PECOS PAC ID: 5496855082 Enrollment ID: I20070711000820 |
| Provider Name | Patricia Perdue Poff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588620132 PECOS PAC ID: 8022118496 Enrollment ID: I20070713000609 |
| Provider Name | Michael David Bagnoli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972584076 PECOS PAC ID: 7012017486 Enrollment ID: I20070713000617 |
| Provider Name | Benjamin Hilinski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003944398 PECOS PAC ID: 9739280991 Enrollment ID: I20070718000730 |
| Provider Name | Stacie J Williams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598871030 PECOS PAC ID: 3678674504 Enrollment ID: I20070723000487 |
| Provider Name | Angela Fanella Ebert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619930740 PECOS PAC ID: 2365533908 Enrollment ID: I20070810000257 |
| Provider Name | Michele Lynn Erickson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205887528 PECOS PAC ID: 1355433582 Enrollment ID: I20070817000407 |
| Provider Name | Lori Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013128412 PECOS PAC ID: 1153413604 Enrollment ID: I20070828001018 |
| Provider Name | Lisa Rose Bruno |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780647214 PECOS PAC ID: 3577659341 Enrollment ID: I20071010000380 |
| Provider Name | Kimberly Fae Agatucci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366623829 PECOS PAC ID: 1355421546 Enrollment ID: I20071228000409 |
| Provider Name | Kacey Ness |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306020458 PECOS PAC ID: 0941380315 Enrollment ID: I20080125000263 |
| Provider Name | Mary Shipley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790963155 PECOS PAC ID: 2860570561 Enrollment ID: I20080422000263 |
| Provider Name | Lauren J Krajewski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255517405 PECOS PAC ID: 1759450919 Enrollment ID: I20080514000732 |
| Provider Name | Theresa K Miller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598850729 PECOS PAC ID: 5496824476 Enrollment ID: I20080516000186 |
| Provider Name | Sushil Ramchandani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083674808 PECOS PAC ID: 6608827613 Enrollment ID: I20080714000127 |
| Provider Name | Michele Hobson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558438093 PECOS PAC ID: 0941376271 Enrollment ID: I20080910000139 |
| Provider Name | Lance Baker Campbell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861446627 PECOS PAC ID: 8123031770 Enrollment ID: I20080929000478 |
| Provider Name | John J Derienzis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184676272 PECOS PAC ID: 4688732910 Enrollment ID: I20081015000341 |
| Provider Name | Diane E Fiore |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124232525 PECOS PAC ID: 6204998362 Enrollment ID: I20081224000136 |
| Provider Name | Donna E Fender |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912199894 PECOS PAC ID: 2365506482 Enrollment ID: I20090203000738 |
| Provider Name | Karen N Rich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275779720 PECOS PAC ID: 6800953019 Enrollment ID: I20090314000034 |
| Provider Name | Douglas P Coe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417064155 PECOS PAC ID: 0446324248 Enrollment ID: I20090702000532 |
| Provider Name | Brandon L Bevil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831328368 PECOS PAC ID: 3678625712 Enrollment ID: I20090721000116 |
| Provider Name | Devin K Nagel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922173293 PECOS PAC ID: 6800802208 Enrollment ID: I20090730000452 |
| Provider Name | Jennifer R Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316951361 PECOS PAC ID: 6507770757 Enrollment ID: I20090818000390 |
| Provider Name | Hope Chestnut |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790927911 PECOS PAC ID: 0345395455 Enrollment ID: I20090825000651 |
| Provider Name | Kelly L Mclaughlin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063458297 PECOS PAC ID: 3971659574 Enrollment ID: I20090923000652 |
| Provider Name | William Devers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770696684 PECOS PAC ID: 4880504182 Enrollment ID: I20091019000309 |
| Provider Name | Samantha G Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821324054 PECOS PAC ID: 5294873410 Enrollment ID: I20091109000607 |
| Provider Name | Deanna T Diohep |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598774606 PECOS PAC ID: 2062550288 Enrollment ID: I20091111000247 |
| Provider Name | Megan Bridge Husn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366778706 PECOS PAC ID: 7911046719 Enrollment ID: I20091208000732 |
| Provider Name | Scott J Baden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548583503 PECOS PAC ID: 2264568070 Enrollment ID: I20100331000891 |
| Provider Name | Clarissa N Bulatek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154506772 PECOS PAC ID: 1153458591 Enrollment ID: I20100416000373 |
| Provider Name | Shane Matthew Inskeep |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235119231 PECOS PAC ID: 7911038914 Enrollment ID: I20100707000471 |
| Provider Name | Nancy N Belding |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023094562 PECOS PAC ID: 9436281466 Enrollment ID: I20100709000524 |
| Provider Name | Sarah E Shout |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851377253 PECOS PAC ID: 4183756976 Enrollment ID: I20100714000286 |
| Provider Name | Eric L Chapman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952387409 PECOS PAC ID: 4688706310 Enrollment ID: I20100715000944 |
| Provider Name | Rita A Satterfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770569170 PECOS PAC ID: 5294867420 Enrollment ID: I20100722001024 |
| Provider Name | Scott E Wood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326024274 PECOS PAC ID: 4486787587 Enrollment ID: I20100726000778 |
| Provider Name | Douglas J Holczer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003892365 PECOS PAC ID: 2466429634 Enrollment ID: I20100730000961 |
| Provider Name | Kristine A Fedorka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891739157 PECOS PAC ID: 6406989813 Enrollment ID: I20100805000881 |
| Provider Name | Shannon Irene Paitsell Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265744684 PECOS PAC ID: 8426182379 Enrollment ID: I20100814000253 |
| Provider Name | Sara S Dieter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700018546 PECOS PAC ID: 0143344473 Enrollment ID: I20100824000402 |
| Provider Name | Teodora Michelle Cetrone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376581769 PECOS PAC ID: 1456475649 Enrollment ID: I20100824001197 |
| Provider Name | Matthew Thomas Harwood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750367421 PECOS PAC ID: 8224013636 Enrollment ID: I20100923001237 |
| Provider Name | Laura L Rubin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780657759 PECOS PAC ID: 9638272859 Enrollment ID: I20100927000939 |
| Provider Name | Kristen Ellen Brady |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770545923 PECOS PAC ID: 7618169004 Enrollment ID: I20101004000761 |
| Provider Name | Ila K Rickman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629148317 PECOS PAC ID: 9032302849 Enrollment ID: I20101025000398 |
| Provider Name | Melissa K Cummings |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689974511 PECOS PAC ID: 4082800776 Enrollment ID: I20101119000827 |
| Provider Name | Robin Conradi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003126202 PECOS PAC ID: 5698962405 Enrollment ID: I20101206001088 |
| Provider Name | Philip A Davidow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366579518 PECOS PAC ID: 4385812452 Enrollment ID: I20110714000813 |
| Provider Name | Michelle Nicole Alby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053589721 PECOS PAC ID: 7618055419 Enrollment ID: I20110726000721 |
| Provider Name | Christina M Pate |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700170735 PECOS PAC ID: 2668640137 Enrollment ID: I20110728000049 |
| Provider Name | Shawn R Moody |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003190919 PECOS PAC ID: 1658545546 Enrollment ID: I20111110000243 |
| Provider Name | Sapna Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154608875 PECOS PAC ID: 0042485831 Enrollment ID: I20111206000423 |
| Provider Name | Kathryn L Chambers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154689958 PECOS PAC ID: 7810151917 Enrollment ID: I20120620000573 |
| Provider Name | Jeremy W Snodgrass |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447447040 PECOS PAC ID: 9335304393 Enrollment ID: I20120626000367 |
| Provider Name | Bradford W Nolan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013922608 PECOS PAC ID: 8527067768 Enrollment ID: I20120723000596 |
| Provider Name | Ashely B Holland |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811182512 PECOS PAC ID: 3072762889 Enrollment ID: I20121010000313 |
| Provider Name | Peggy Eubanks Evans |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275882367 PECOS PAC ID: 9830340108 Enrollment ID: I20121114000110 |
| Provider Name | Patrice L Stange |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710962436 PECOS PAC ID: 6800047119 Enrollment ID: I20121114000656 |
| Provider Name | Erin J Willoughby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528317369 PECOS PAC ID: 7012160047 Enrollment ID: I20121226000306 |
| Provider Name | Christina Yvonne Perry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790021863 PECOS PAC ID: 5597919720 Enrollment ID: I20130215000450 |
| Provider Name | Kristin L Heter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194782920 PECOS PAC ID: 1254500655 Enrollment ID: I20130628000262 |
| Provider Name | Jodie Johnson Rogers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235575085 PECOS PAC ID: 1850531054 Enrollment ID: I20130711000674 |
| Provider Name | Christina K Buffington |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518217199 PECOS PAC ID: 0042453755 Enrollment ID: I20130828000546 |
| Provider Name | Brian M Moran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376980441 PECOS PAC ID: 2961645155 Enrollment ID: I20130909000462 |
| Provider Name | Scott Andrew Houser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265873186 PECOS PAC ID: 3375777238 Enrollment ID: I20131008000819 |
| Provider Name | Krista Michelle Herbst |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013345875 PECOS PAC ID: 6406083294 Enrollment ID: I20131227000583 |
| Provider Name | Julie N Hall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548572423 PECOS PAC ID: 2567690217 Enrollment ID: I20140102000938 |
| Provider Name | Kendall Nicole Shalley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386070928 PECOS PAC ID: 0749410082 Enrollment ID: I20140305001824 |
| Provider Name | Carolyn L Harriss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841613023 PECOS PAC ID: 5092946517 Enrollment ID: I20140327000002 |
| Provider Name | Jennifer Buie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477692952 PECOS PAC ID: 1355574237 Enrollment ID: I20140429002201 |
| Provider Name | Samantha Marie Bronson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740606714 PECOS PAC ID: 9830322403 Enrollment ID: I20140506000970 |
| Provider Name | Kyle A Hensley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407058472 PECOS PAC ID: 1850354291 Enrollment ID: I20140729001932 |
| Provider Name | Deborah J Craig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508933045 PECOS PAC ID: 6507774478 Enrollment ID: I20140811002247 |
| Provider Name | Scott Cormier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669704201 PECOS PAC ID: 6507084134 Enrollment ID: I20140824000066 |
| Provider Name | Brendan James Orourke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447389549 PECOS PAC ID: 1557342235 Enrollment ID: I20141022001513 |
| Provider Name | Gard Eva Erlandsson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164832796 PECOS PAC ID: 0941421317 Enrollment ID: I20141028002118 |
| Provider Name | Virginia Arline Pfrimmer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457767550 PECOS PAC ID: 4789806860 Enrollment ID: I20141104002384 |
| Provider Name | Per K Moerk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568666204 PECOS PAC ID: 1557684107 Enrollment ID: I20150106002013 |
| Provider Name | Jennifer Guardino Albert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427078518 PECOS PAC ID: 3870817927 Enrollment ID: I20150120000336 |
| Provider Name | Daniel G Merke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851780399 PECOS PAC ID: 3577880244 Enrollment ID: I20150318001740 |
| Provider Name | Britt Nicole Wright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699915959 PECOS PAC ID: 5991942856 Enrollment ID: I20150409000451 |
| Provider Name | Katie Dietrich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487943403 PECOS PAC ID: 5597940122 Enrollment ID: I20150515002166 |
| Provider Name | Kimberlee Lynn Kreuzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962882035 PECOS PAC ID: 7618280439 Enrollment ID: I20150722003840 |
| Provider Name | Alison E Butler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851542690 PECOS PAC ID: 7012220890 Enrollment ID: I20150722005850 |
| Provider Name | Julie J Adcock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437568532 PECOS PAC ID: 7618283797 Enrollment ID: I20150903002496 |
| Provider Name | Brenda L Culbertson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023163896 PECOS PAC ID: 5092024901 Enrollment ID: I20151015001556 |
| Provider Name | Jeanne Tanner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487899274 PECOS PAC ID: 4880903145 Enrollment ID: I20151028000231 |
| Provider Name | Loren Shriner Hughes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386821635 PECOS PAC ID: 7618055690 Enrollment ID: I20151103000648 |
| Provider Name | Maegan Nicole King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417317215 PECOS PAC ID: 3971801705 Enrollment ID: I20160412001882 |
| Provider Name | Kenneth Edward Richards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720256308 PECOS PAC ID: 3678872181 Enrollment ID: I20160505000788 |
| Provider Name | Daniel Paggen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992095400 PECOS PAC ID: 6709054828 Enrollment ID: I20160505001956 |
| Provider Name | April Wilson Phillips |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558729442 PECOS PAC ID: 2961791595 Enrollment ID: I20160520000172 |
| Provider Name | Kathleen Mcgowan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710333885 PECOS PAC ID: 3476842873 Enrollment ID: I20160524000915 |
| Provider Name | Sherie Mae Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104078757 PECOS PAC ID: 7416920004 Enrollment ID: I20160630000866 |
| Provider Name | Leigh A Martino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932557584 PECOS PAC ID: 1153615943 Enrollment ID: I20160802000677 |
| Provider Name | Michelle Stine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801265301 PECOS PAC ID: 2769778505 Enrollment ID: I20160906000258 |
| Provider Name | Jonathan Mcpeters |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700330818 PECOS PAC ID: 4688961659 Enrollment ID: I20160920001496 |
| Provider Name | Ryan Xavier Walsh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477007896 PECOS PAC ID: 7113214719 Enrollment ID: I20160926001500 |
| Provider Name | Roxana M Airinei Teel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346525581 PECOS PAC ID: 1759558950 Enrollment ID: I20161005000603 |
| Provider Name | Noelle Elizabeth Budzyn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730633215 PECOS PAC ID: 2961790845 Enrollment ID: I20161010000009 |
| Provider Name | Julie Canfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871945402 PECOS PAC ID: 2769770692 Enrollment ID: I20161010001451 |
| Provider Name | Richard Suchan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205384237 PECOS PAC ID: 0648550491 Enrollment ID: I20161213001410 |
| Provider Name | Heather Koopman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073069795 PECOS PAC ID: 7113207929 Enrollment ID: I20161214001059 |
| Provider Name | Christina Marie England |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326028754 PECOS PAC ID: 5799065330 Enrollment ID: I20161216001790 |
| Provider Name | Jody Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083066898 PECOS PAC ID: 6800177874 Enrollment ID: I20170105001451 |
| Provider Name | Elizabeth L Hage |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275960247 PECOS PAC ID: 2365725934 Enrollment ID: I20170206000076 |
| Provider Name | Donald Fuller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417985540 PECOS PAC ID: 6709060130 Enrollment ID: I20170213000828 |
| Provider Name | Aaron Swanson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629375399 PECOS PAC ID: 7719161199 Enrollment ID: I20170215000039 |
| Provider Name | Kayla Jade Simmons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538602792 PECOS PAC ID: 3577847409 Enrollment ID: I20170221001489 |
| Provider Name | Andrea N Couts |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184160368 PECOS PAC ID: 6103102785 Enrollment ID: I20170413001924 |
| Provider Name | William Eric Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225317274 PECOS PAC ID: 1355584137 Enrollment ID: I20170727001229 |
| Provider Name | Frank Mikloucich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053356600 PECOS PAC ID: 4284637919 Enrollment ID: I20170801000436 |
| Provider Name | Anna Brooks Holcomb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326326554 PECOS PAC ID: 9931471364 Enrollment ID: I20170821001260 |
| Provider Name | Jason Kalivoda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134657224 PECOS PAC ID: 5496029241 Enrollment ID: I20170919000006 |
| Provider Name | Maryellen Halloran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245669845 PECOS PAC ID: 1254562986 Enrollment ID: I20180104000345 |
| Provider Name | Jared Blaine Carroll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710492301 PECOS PAC ID: 0840559043 Enrollment ID: I20180116001335 |
| Provider Name | Morgan Kristen Ogale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568978526 PECOS PAC ID: 2163783176 Enrollment ID: I20180307000874 |
| Provider Name | Stephen Amico |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669849030 PECOS PAC ID: 2466750005 Enrollment ID: I20180312002467 |
| Provider Name | Lisa Ann D'oria |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972666303 PECOS PAC ID: 6103846779 Enrollment ID: I20180326000726 |
| Provider Name | Mackenzie Mallrey Eldridge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902308976 PECOS PAC ID: 5092079319 Enrollment ID: I20180514000158 |
| Provider Name | Christine Barnowich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679028963 PECOS PAC ID: 7911252929 Enrollment ID: I20180615000166 |
| Provider Name | Paul Robert Reid |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629147459 PECOS PAC ID: 1254429053 Enrollment ID: I20180718004170 |
| Provider Name | Vivian Isabel Franco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477047413 PECOS PAC ID: 5597015073 Enrollment ID: I20180904001788 |
| Provider Name | Kasey Elizabeth Bilodeau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942679642 PECOS PAC ID: 0547570988 Enrollment ID: I20181113002365 |
| Provider Name | Rebecca Anne Gordon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164904702 PECOS PAC ID: 1557605888 Enrollment ID: I20181127002895 |
| Provider Name | Samantha Jane Tobin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922589001 PECOS PAC ID: 0446594352 Enrollment ID: I20181204002049 |
| Provider Name | Adrian Taylor Knaup |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790255362 PECOS PAC ID: 8921345703 Enrollment ID: I20190201000766 |
| Provider Name | Connor Patrick Cleveland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639642648 PECOS PAC ID: 9133467293 Enrollment ID: I20190214002476 |
| Provider Name | Kristen Dunford Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235600123 PECOS PAC ID: 4789923863 Enrollment ID: I20190307001592 |
| Provider Name | Taylor Duncan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386109502 PECOS PAC ID: 2163762360 Enrollment ID: I20190326002616 |
| Provider Name | Kendra Lynn Rost |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326503038 PECOS PAC ID: 7810238458 Enrollment ID: I20190409002853 |
| Provider Name | Courtney Hudson Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326283334 PECOS PAC ID: 8628310349 Enrollment ID: I20190430000813 |
| Provider Name | Scott M. Baker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720254220 PECOS PAC ID: 2264501980 Enrollment ID: I20190722000630 |
| Provider Name | Logan Kaptis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396305652 PECOS PAC ID: 3870829740 Enrollment ID: I20190730003657 |
| Provider Name | Adam Luke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336700194 PECOS PAC ID: 7315274040 Enrollment ID: I20190802003053 |
| Provider Name | William Cooner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770039943 PECOS PAC ID: 8325320484 Enrollment ID: I20190806004210 |
| Provider Name | Antoinette A Allen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356389340 PECOS PAC ID: 5890935548 Enrollment ID: I20190904002399 |
| Provider Name | Carlson Helm Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396390639 PECOS PAC ID: 0941530687 Enrollment ID: I20190924001147 |
| Provider Name | Whitney Ann Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619525102 PECOS PAC ID: 6406187749 Enrollment ID: I20191017000812 |
| Provider Name | Ger Daniel Schmidt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407385446 PECOS PAC ID: 0648549113 Enrollment ID: I20191021000556 |
| Provider Name | Shanna L Lambert |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700214772 PECOS PAC ID: 1456683143 Enrollment ID: I20191030000735 |
| Provider Name | Samuel Jandreau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467943027 PECOS PAC ID: 2860724366 Enrollment ID: I20191104000408 |
| Provider Name | Jason Todd Wall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053578385 PECOS PAC ID: 0749613701 Enrollment ID: I20191204002781 |
| Provider Name | Allison Mae Lambert |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518490523 PECOS PAC ID: 5799110227 Enrollment ID: I20200110001282 |
| Provider Name | Katherine Sandknop |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689129975 PECOS PAC ID: 4284980954 Enrollment ID: I20200220001424 |
| Provider Name | Malik D'mar Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023641206 PECOS PAC ID: 1153759188 Enrollment ID: I20200325000935 |
| Provider Name | Nathan Anthony Mooney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033743372 PECOS PAC ID: 4981034378 Enrollment ID: I20200427002037 |
| Provider Name | Loretta Wawrzyniak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598121352 PECOS PAC ID: 4688090780 Enrollment ID: I20200820000070 |
| Provider Name | Christina Marie Mcdonald |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962713024 PECOS PAC ID: 7719306646 Enrollment ID: I20200928000181 |
| Provider Name | Christina L Iannello |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417428236 PECOS PAC ID: 4587909262 Enrollment ID: I20200929001115 |
| Provider Name | Jillian Schwab |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437666344 PECOS PAC ID: 8729329479 Enrollment ID: I20201006002158 |
| Provider Name | Oladimeji Adebayo Omitoogun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770196479 PECOS PAC ID: 4385064195 Enrollment ID: I20201016001036 |
| Provider Name | Hope R Caddell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366059594 PECOS PAC ID: 1355761032 Enrollment ID: I20201019001827 |
| Provider Name | Sue Ericson Austin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508085952 PECOS PAC ID: 8628163581 Enrollment ID: I20201103000179 |
| Provider Name | Thalia Honea |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891250049 PECOS PAC ID: 1850639758 Enrollment ID: I20201118002404 |
| Provider Name | Tyler Knabe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861093494 PECOS PAC ID: 8820409477 Enrollment ID: I20201202003267 |
| Provider Name | Rebecca Frandza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932746211 PECOS PAC ID: 6103252358 Enrollment ID: I20201208001793 |
| Provider Name | Sarah N Bourque |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215484209 PECOS PAC ID: 5991093999 Enrollment ID: I20210107002167 |
| Provider Name | Jennifer Cook |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235236894 PECOS PAC ID: 6103177951 Enrollment ID: I20210111001956 |
| Provider Name | Tori Dufrene Naquin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568058170 PECOS PAC ID: 9133534936 Enrollment ID: I20210208002444 |
| Provider Name | Minh Phuong Nguyen Le |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689265498 PECOS PAC ID: 7719392406 Enrollment ID: I20210210000577 |
| Provider Name | Elizabeth Vernice Stevenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659965507 PECOS PAC ID: 6305252016 Enrollment ID: I20210304000344 |
| Provider Name | Jonathan Reeve |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932787157 PECOS PAC ID: 3173931458 Enrollment ID: I20210427000741 |
| Provider Name | Malgorzata Anna Szelwach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164843710 PECOS PAC ID: 5698183838 Enrollment ID: I20210428000470 |
| Provider Name | Joseph James Muglia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063968519 PECOS PAC ID: 0244527695 Enrollment ID: I20210504002310 |
| Provider Name | Danielle Whittemore |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619418878 PECOS PAC ID: 0749566412 Enrollment ID: I20210513002372 |
| Provider Name | Emily Murphy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558849554 PECOS PAC ID: 3274885363 Enrollment ID: I20210524000058 |
| Provider Name | Davis Summers Tucker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962081315 PECOS PAC ID: 3779982749 Enrollment ID: I20210524002011 |
| Provider Name | Ashleigh Lyn Bair |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134712755 PECOS PAC ID: 2264831007 Enrollment ID: I20210526003111 |
| Provider Name | Stephen Howard Cole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790351005 PECOS PAC ID: 9335549476 Enrollment ID: I20210611000747 |
| Provider Name | Jordan Philip Waugh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295309300 PECOS PAC ID: 5698176352 Enrollment ID: I20210701001928 |
| Provider Name | Lydia Jobe Cole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164098752 PECOS PAC ID: 6901209451 Enrollment ID: I20210722000104 |
| Provider Name | Jahnee Lee-chambers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245905587 PECOS PAC ID: 8426453341 Enrollment ID: I20210816002211 |
| Provider Name | Nicole Perna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538736988 PECOS PAC ID: 2264837129 Enrollment ID: I20210816004088 |
| Provider Name | Ashlea Ember Adams-hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871266015 PECOS PAC ID: 5597161919 Enrollment ID: I20210910001300 |
| Provider Name | Andrew Ryan Sjolander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144477159 PECOS PAC ID: 8921229618 Enrollment ID: I20210924002333 |
| Provider Name | Ricardo Morales |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700177441 PECOS PAC ID: 7012164924 Enrollment ID: I20210930001199 |
| Provider Name | Caitlyn Dunlap |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477220135 PECOS PAC ID: 1052719523 Enrollment ID: I20211013003510 |
| Provider Name | Alexanna Kristine Godleski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093470726 PECOS PAC ID: 5496146938 Enrollment ID: I20211217000167 |
| Provider Name | Tyler Wade Ray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679232896 PECOS PAC ID: 0345631453 Enrollment ID: I20211228002425 |
| Provider Name | Kimberly Morris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699140715 PECOS PAC ID: 1850783762 Enrollment ID: I20220126000375 |
| Provider Name | Gordon Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689325110 PECOS PAC ID: 5193119071 Enrollment ID: I20220221000303 |
| Provider Name | Natalie Chapin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366861403 PECOS PAC ID: 1456746544 Enrollment ID: I20220329000625 |
| Provider Name | Jeffery Ebner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649819855 PECOS PAC ID: 4587092002 Enrollment ID: I20220401001652 |
| Provider Name | Jonathan Kimin Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104573336 PECOS PAC ID: 1951797430 Enrollment ID: I20220410000096 |
| Provider Name | Jacob Henry Jaffe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932743515 PECOS PAC ID: 7416378856 Enrollment ID: I20220418000191 |
| Provider Name | Amber Egypt Stewart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255770327 PECOS PAC ID: 7517109333 Enrollment ID: I20220607000371 |
| Provider Name | David Basirico |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689337248 PECOS PAC ID: 7214316512 Enrollment ID: I20220616001223 |
| Provider Name | Tanner Dirk Purser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023752250 PECOS PAC ID: 9032598214 Enrollment ID: I20220617001401 |
| Provider Name | Chanh Van Huynh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396270898 PECOS PAC ID: 2668851890 Enrollment ID: I20220618000434 |
| Provider Name | Danielle Martine Rainville |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750966875 PECOS PAC ID: 5496134447 Enrollment ID: I20220621003373 |
| Provider Name | Tyler Gene Foor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376280412 PECOS PAC ID: 8022498401 Enrollment ID: I20220701000129 |
| Provider Name | David Lambert Solomon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114665692 PECOS PAC ID: 0749660629 Enrollment ID: I20220708003591 |
| Provider Name | Dayna Dols |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609506948 PECOS PAC ID: 7113309394 Enrollment ID: I20220804001146 |
| Provider Name | Laquestis Nicole Scott |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063149870 PECOS PAC ID: 0941684518 Enrollment ID: I20220831000536 |
| Provider Name | Jeremy Grissett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952022139 PECOS PAC ID: 6002291747 Enrollment ID: I20220916002117 |
| Provider Name | Kayde Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790416923 PECOS PAC ID: 6800272568 Enrollment ID: I20221003002978 |
| Provider Name | Caroline Elizabeth Yeomans |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467170316 PECOS PAC ID: 9133595465 Enrollment ID: I20221012000319 |
| Provider Name | Meghan Froiseth |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023529609 PECOS PAC ID: 4688930902 Enrollment ID: I20221020001499 |
| Provider Name | Sunyoung Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144941972 PECOS PAC ID: 6406222892 Enrollment ID: I20221027000269 |
| Provider Name | Matthew Thomas Schmitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225757339 PECOS PAC ID: 0446627624 Enrollment ID: I20221031002680 |
| Provider Name | Kathryn Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760447965 PECOS PAC ID: 9931178605 Enrollment ID: I20221031002897 |
| Provider Name | Jevon Andres Morris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518687169 PECOS PAC ID: 4880061597 Enrollment ID: I20221109003245 |
| Provider Name | David Chandler Ennis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760105696 PECOS PAC ID: 9739557240 Enrollment ID: I20221114002954 |
| Provider Name | Matthew Graham Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952030009 PECOS PAC ID: 4981072964 Enrollment ID: I20221122003439 |
| Provider Name | Amber P Maltese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245665017 PECOS PAC ID: 1456585777 Enrollment ID: I20221220002243 |
| Provider Name | Taylor Marie Budzynski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679290027 PECOS PAC ID: 9638549082 Enrollment ID: I20221230000912 |
| Provider Name | Alexandra Lee Szymanski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902515497 PECOS PAC ID: 3779953971 Enrollment ID: I20230104002406 |
| Provider Name | Aanand Atul Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790494508 PECOS PAC ID: 5193195303 Enrollment ID: I20230104003123 |
| Provider Name | Caroline Haas Windham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013627488 PECOS PAC ID: 5991175051 Enrollment ID: I20230105002350 |
| Provider Name | Caitlin Colleena Dumont |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447960505 PECOS PAC ID: 9032589825 Enrollment ID: I20230112002390 |
| Provider Name | James Gallegro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790860203 PECOS PAC ID: 6608975917 Enrollment ID: I20230123002082 |
| Provider Name | Kelly Broussard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801433958 PECOS PAC ID: 0244664902 Enrollment ID: I20230130000000 |
| Provider Name | Joshua Logan Anderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871209007 PECOS PAC ID: 5799157012 Enrollment ID: I20230215001679 |
| Provider Name | John L Cosmiano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932813268 PECOS PAC ID: 4688046865 Enrollment ID: I20230216001512 |
| Provider Name | Anna Sheridan Hodges |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043917586 PECOS PAC ID: 5496128068 Enrollment ID: I20230301001477 |
| Provider Name | Shawn Craven |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497453518 PECOS PAC ID: 4385017573 Enrollment ID: I20230309001324 |
| Provider Name | Morgan Blair Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528768769 PECOS PAC ID: 5698149318 Enrollment ID: I20230321000978 |
| Provider Name | Hannah G Kepple |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215635016 PECOS PAC ID: 7214301597 Enrollment ID: I20230328002682 |
| Provider Name | Abigail Bohn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346946209 PECOS PAC ID: 8224403381 Enrollment ID: I20230404000986 |
| Provider Name | Ashley Renee Gray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013602200 PECOS PAC ID: 7113392556 Enrollment ID: I20230417001767 |
| Provider Name | Tara Comer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982051249 PECOS PAC ID: 1759746969 Enrollment ID: I20230421002582 |
| Provider Name | Debra Lynn Allison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104240878 PECOS PAC ID: 2466677554 Enrollment ID: I20230503000660 |
| Provider Name | Anne Denise Leach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700976529 PECOS PAC ID: 6507264199 Enrollment ID: I20230512000289 |
| Provider Name | Steven Stroup |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124694369 PECOS PAC ID: 0648667956 Enrollment ID: I20230619001766 |
| Provider Name | Kurt Ryan Motyka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164111027 PECOS PAC ID: 8921466087 Enrollment ID: I20230621003096 |
| Provider Name | Megan Ashley London |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598459075 PECOS PAC ID: 0143689695 Enrollment ID: I20230630003149 |
| Provider Name | Diana Rita Rizza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629174974 PECOS PAC ID: 7416865514 Enrollment ID: I20230712002568 |
| Provider Name | Elaina Groby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871153452 PECOS PAC ID: 9739580812 Enrollment ID: I20230717001793 |
| Provider Name | Gabriel Smiley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437763703 PECOS PAC ID: 9032570239 Enrollment ID: I20230803004596 |
| Provider Name | Megan Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093171472 PECOS PAC ID: 0648633818 Enrollment ID: I20230906001023 |
| Provider Name | Robyn Elizabeth Nespole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457440315 PECOS PAC ID: 5395654131 Enrollment ID: I20230920000419 |
| Provider Name | Ryan Peter Busalacchi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508548900 PECOS PAC ID: 9931553930 Enrollment ID: I20230925002794 |
| Provider Name | Lynnette Eileen Davies |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295510246 PECOS PAC ID: 9133573173 Enrollment ID: I20230926000859 |
| Provider Name | Jennifer Patetta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518643980 PECOS PAC ID: 7416303383 Enrollment ID: I20231030000098 |
| Provider Name | Kelsey Elizabeth Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194508077 PECOS PAC ID: 3971959727 Enrollment ID: I20231031000048 |
| Provider Name | Deborah Michelle Dunn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558763946 PECOS PAC ID: 1951628270 Enrollment ID: I20231103001556 |
| Provider Name | Fahim Khalid Lodhi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992469308 PECOS PAC ID: 0345697058 Enrollment ID: I20231116002146 |
| Provider Name | Kathryn Marie Fraboni |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912506791 PECOS PAC ID: 9830581149 Enrollment ID: I20231117001989 |
| Provider Name | Jonathan Richard Lampe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508641663 PECOS PAC ID: 3678922374 Enrollment ID: I20231206002930 |
| Provider Name | Rebecca Lee Fanning |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821717745 PECOS PAC ID: 5799153409 Enrollment ID: I20231208001854 |
| Provider Name | Jennifer Paige Gerst |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629845813 PECOS PAC ID: 9638529043 Enrollment ID: I20231227003377 |
| Provider Name | Ava Rae Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487429486 PECOS PAC ID: 4587014816 Enrollment ID: I20231228001008 |
| Provider Name | Alison Rae Horn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912546094 PECOS PAC ID: 5193176998 Enrollment ID: I20240105001624 |
| Provider Name | Frantz Joseph Dor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235721093 PECOS PAC ID: 2567844624 Enrollment ID: I20240108003257 |
| Provider Name | Christopher Robert Marchand |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184183485 PECOS PAC ID: 9830432814 Enrollment ID: I20240110001485 |
| Provider Name | Zachary Theinert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649727181 PECOS PAC ID: 8426336777 Enrollment ID: I20240110004464 |
| Provider Name | Margaret L Calegan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689285405 PECOS PAC ID: 8729407739 Enrollment ID: I20240110004628 |
| Provider Name | Kyle Patrick Cunningham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710392972 PECOS PAC ID: 9133492275 Enrollment ID: I20240112000145 |
| Provider Name | Stephanie Devane Marchand |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275092579 PECOS PAC ID: 8325389430 Enrollment ID: I20240112003155 |
| Provider Name | Alexa Elizabeth Prebola |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346017183 PECOS PAC ID: 8022451707 Enrollment ID: I20240209000961 |
| Provider Name | Olivia Antoinette Orcutt Lazo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588357289 PECOS PAC ID: 9234574385 Enrollment ID: I20240228001543 |
| Provider Name | Thomas J-r Constand |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194423335 PECOS PAC ID: 9133586878 Enrollment ID: I20240308000349 |
| Provider Name | Felipe Edwin Sanchez Castro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164204871 PECOS PAC ID: 7416394648 Enrollment ID: I20240325000784 |
| Provider Name | Heidi Leticia Bristow |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215471792 PECOS PAC ID: 0446698922 Enrollment ID: I20240403000426 |
| Provider Name | Chance Cox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366180929 PECOS PAC ID: 8820479165 Enrollment ID: I20240404002776 |
| Provider Name | Heather J Kelim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790799609 PECOS PAC ID: 6305866625 Enrollment ID: I20240422002905 |
| Provider Name | Christopher Licea |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588382709 PECOS PAC ID: 8325401441 Enrollment ID: I20240515004270 |
| Provider Name | Michaela Weeks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912753773 PECOS PAC ID: 5597107508 Enrollment ID: I20240522002385 |
| Provider Name | Katelyn Augusta Herman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427646744 PECOS PAC ID: 8123437746 Enrollment ID: I20240612002457 |
| Provider Name | Karin Kay Hetherington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114138567 PECOS PAC ID: 1355884768 Enrollment ID: I20240613002194 |
| Provider Name | Julia Anne Wray |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659111722 PECOS PAC ID: 0143766659 Enrollment ID: I20240720000359 |
| Provider Name | Ashley Deremer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972013936 PECOS PAC ID: 0840556411 Enrollment ID: I20240724002052 |
| Provider Name | Jamie Lee Bernal |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962249698 PECOS PAC ID: 2668910365 Enrollment ID: I20240813001937 |
| Provider Name | Aria Jame Galloway |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710529821 PECOS PAC ID: 4688115124 Enrollment ID: I20240924001951 |
| Provider Name | Sarah Louise Hinshaw |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689410797 PECOS PAC ID: 8527590033 Enrollment ID: I20241022000573 |
| Provider Name | Darin Michael White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053412486 PECOS PAC ID: 1052225893 Enrollment ID: I20241030003393 |
| Provider Name | Randy Edward Yocum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295733251 PECOS PAC ID: 8921130345 Enrollment ID: I20241031004429 |
| Provider Name | Mark Simmons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225411457 PECOS PAC ID: 3678886322 Enrollment ID: I20241106002425 |
| Provider Name | Bailey Danielle Hunt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336969708 PECOS PAC ID: 8224562145 Enrollment ID: I20241114000207 |
| Provider Name | James Mulroy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659315703 PECOS PAC ID: 9032121512 Enrollment ID: I20241120002320 |
| Provider Name | Laurie Marie Yocum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740288703 PECOS PAC ID: 6406988823 Enrollment ID: I20241125001380 |
| Provider Name | Joshua Caleb Clapper |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013743749 PECOS PAC ID: 4082140694 Enrollment ID: I20241205003905 |
| Provider Name | Zachary Robert Duby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295455749 PECOS PAC ID: 4587040522 Enrollment ID: I20241219002602 |
| Provider Name | Colin Michael Flanagan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326476854 PECOS PAC ID: 5597992628 Enrollment ID: I20250110001876 |
| Provider Name | Jensen Olivia Anderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265155576 PECOS PAC ID: 4486028750 Enrollment ID: I20250221000492 |
| Provider Name | Joshua Cole Pridgen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700695095 PECOS PAC ID: 6204357155 Enrollment ID: I20250307000553 |
| Provider Name | Dennis Oliver Courtney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881408524 PECOS PAC ID: 6507387172 Enrollment ID: I20250312000245 |
| Provider Name | Byoungjoon Jang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740091875 PECOS PAC ID: 3971024472 Enrollment ID: I20250312001568 |
| Provider Name | Brandon Hord |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649952839 PECOS PAC ID: 5496118267 Enrollment ID: I20250407003780 |
| Provider Name | Giacomo Raimondi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073239901 PECOS PAC ID: 9537539341 Enrollment ID: I20250418000099 |
| Provider Name | Diane Alicia Ezernack |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093845711 PECOS PAC ID: 7618906389 Enrollment ID: I20250418001988 |
| Provider Name | Anneka Marie Boomsma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598461352 PECOS PAC ID: 2466825732 Enrollment ID: I20250421000641 |
| Provider Name | Matthew Wells Richter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780134072 PECOS PAC ID: 5890210066 Enrollment ID: I20250421001331 |
| Provider Name | Jennifer Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639466121 PECOS PAC ID: 2062684996 Enrollment ID: I20250429004134 |
| Provider Name | Allen Jacob Howe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821871187 PECOS PAC ID: 5991169278 Enrollment ID: I20250508002982 |
| Provider Name | Randy Moran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548831399 PECOS PAC ID: 7214331362 Enrollment ID: I20250512002670 |
| Provider Name | Madison Lynn Schultz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477353076 PECOS PAC ID: 9032637004 Enrollment ID: I20250514001929 |
| Provider Name | Catherine Alek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154112506 PECOS PAC ID: 8628587151 Enrollment ID: I20250604003704 |
Durham County Mental Health Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4018 Trotter Ridge Rd, Durham, NC 27707 Phone: 919-493-4000 Fax: 919-493-1200 | |
Global Mental Health And Substance Abuse Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Tw Alexander Drive, Durham, NC 27709 Phone: 919-530-0555 | |
Crs Choices Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 N Mangum St Ste 204, Durham, NC 27701 Phone: 984-224-2150 | |
Adrienne Inscoe, Phd, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 Broad St, Durham, NC 27705 Phone: 919-175-0307 | |
Anfo Child And Adult Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3519 Fayetteville St, Durham, NC 27707 Phone: 919-806-2833 | |
Branching Out Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Markham Ave, Durham, NC 27701 Phone: 919-884-1542 | |
Infants, Children, Adults, Adolescents/juveniles, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2707 N Roxboro St, Durham, NC 27704 Phone: 919-201-0052 |