| Michael Arcidiacono, PT, DPT, ATC | |
|
154 Amendment Ave, Rock Hill, SC 29732-3155 | |
| (803) 366-9990 | |
| (803) 366-9960 |
| Full Name | Michael Arcidiacono |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 154 Amendment Ave, Rock Hill, 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 |
|---|---|---|---|
| 1023476678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P16139 (North Carolina) | Primary |
| Provider Name | Proactive Therapy Of North Carolina Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568468502 PECOS PAC ID: 6305753120 Enrollment ID: O20130207000475 |
| Provider Name | Select Physical Therapy Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669432175 PECOS PAC ID: 9537076401 Enrollment ID: O20161201002068 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Arcidiacono, PT, DPT, ATC 10512 Park Rd, Charlotte, NC 28210-8475 Ph: (803) 366-9990 | Michael Arcidiacono, PT, DPT, ATC 154 Amendment Ave, Rock Hill, SC 29732-3155 Ph: (803) 366-9990 |
Tammy C Gantzer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 134 Professional Park Drive, Rock Hill, SC 29732 Phone: 803-329-4685 Fax: 803-329-4683 | |
Zachary Titus Berg, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1915 Ebenezer Rd, Rock Hill, SC 29732 Phone: 803-366-8155 | |
Amanda Borth, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1525 Celanese Rd Ste 113, Rock Hill, SC 29732 Phone: 803-366-8243 Fax: 803-366-8245 | |
Kathy Z Dorton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2156 Olde Creek Rd, Rock Hill, SC 29732 Phone: 803-324-5846 Fax: 803-324-5846 | |
Mrs. Carole Barber Tiedeman, PT PHYSICAL THERAPIS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1169 Ebenezer Rd Ste C, Rock Hill, SC 29732 Phone: 803-324-5370 Fax: 803-324-7650 | |
Rachel Colleen Ruel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2460 India Hook Rd Ste 107, Rock Hill, SC 29732 Phone: 803-658-4073 Fax: 803-329-1696 |