| Elisabeth Ann Perugini, PT | |
|
1150 Wyoming Ave, Suite 700, Wyoming, PA 18644-1366 | |
| (570) 288-1734 | |
| (570) 288-1735 |
| Full Name | Elisabeth Ann Perugini |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1150 Wyoming Ave, Wyoming, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427116987 | NPI | - | NPPES |
| 1014396950002 | Medicaid | PA | |
| 11510478 | Other | PA | CAQH UNIVERSAL CREDENTIAL |
| 1014396950001 | Medicaid | PA | |
| 7510777 | Other | PA | AETNA PROVIDER ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT016209 (Pennsylvania) | Primary |
| Provider Name | Fox Rehab Pt Md Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1588901847 PECOS PAC ID: 6709028822 Enrollment ID: O20130820000083 |
| Mailing Address | Practice Location Address |
|---|---|
| Elisabeth Ann Perugini, PT 1150 Wyoming Ave, Suite 700, Wyoming, PA 18644-1366 Ph: (570) 288-1734 | Elisabeth Ann Perugini, PT 1150 Wyoming Ave, Suite 700, Wyoming, PA 18644-1366 Ph: (570) 288-1734 |
Hollie Dimare, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 170 2nd St, Wyoming, PA 18644 Phone: 570-814-6442 | |
Melissa A Cencetti, DPT, EDD Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 Wyoming Ave, Wyoming, PA 18644 Phone: 570-336-0309 Fax: 272-207-2774 | |
Patrick Tyler Brown, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1062 Wyoming Ave, Wyoming, PA 18644 Phone: 570-609-5377 | |
Kelly Ann Ford, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 Wyoming Ave, Wyoming, PA 18644 Phone: 570-693-2900 |