| Frank T Russo, PT, DPT | |
|
1621 Highway 17 N, North Myrtle Beach, SC 29582-2229 | |
| (843) 353-3460 | |
| (843) 353-3461 |
| Full Name | Frank T Russo |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1621 Highway 17 N, North Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164259552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12580 (South Carolina) | Secondary |
| 225100000X | Physical Therapist | 052834 (New York) | Primary |
| Provider Name | Orthosc Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861902728 PECOS PAC ID: 8022370030 Enrollment ID: O20180501000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Frank T Russo, PT, DPT 210 Village Center Blvd Ste 140, Myrtle Beach, SC 29579-6706 Ph: (843) 353-3460 | Frank T Russo, PT, DPT 1621 Highway 17 N, North Myrtle Beach, SC 29582-2229 Ph: (843) 353-3460 |
Jacqueline Suzanne Ehmann, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 53rd Ave N, North Myrtle Beach, SC 29582 Phone: 704-984-3683 | |
Emily Costabile, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1621 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 843-427-0592 | |
Paul Vojtek, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1424 Highway 17 N Ste 2, North Myrtle Beach, SC 29582 Phone: 843-427-7132 Fax: 843-427-7154 | |
Jacob W Hamilton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1621 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 843-353-3460 Fax: 843-353-3461 | |
Kristin L Heter, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1424 Highway 17 N Ste 2, North Myrtle Beach, SC 29582 Phone: 843-427-7132 Fax: 843-427-7154 | |
Hayley Addison Krueger, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1621 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 843-353-3460 |