| Derek Enterprises Llc | |
|
106 Rotary Drive, Valmont Industrial Park, W Hazleton, PA 18202 | |
| (570) 459-6333 | |
| (570) 459-5255 |
| Full Name | Derek Enterprises Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 106 Rotary Drive, W Hazleton, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659457158 | NPI | - | NPPES |
| 50042164 | Other | PA | CAPITAL BCBS |
| 61915 | Other | PA | GEISINGER |
| 118707500 | Other | PA | US DEPT OF LABOR |
| 315464 | Other | PA | HEALTH AMERICA HLTH ASSUR |
| 5234560 | Other | PA | AETNA US HEALTHCARE |
| 1507382 | Other | PA | HIGHMARK BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Frank A Serino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689870347 PECOS PAC ID: 3274589866 Enrollment ID: I20050328000141 |
| Provider Name | Anthony Carusotto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295047405 PECOS PAC ID: 2062537202 Enrollment ID: I20100913000280 |
| Provider Name | Chelsea L Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235435686 PECOS PAC ID: 8426233651 Enrollment ID: I20110503000226 |
| Provider Name | Ashley Breece |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922355478 PECOS PAC ID: 3678721313 Enrollment ID: I20120921000131 |
| Provider Name | Leah B Pambianco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740648633 PECOS PAC ID: 7719283977 Enrollment ID: I20160315000135 |
| Provider Name | Pamela Brant |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457423394 PECOS PAC ID: 7012980766 Enrollment ID: I20160324000194 |
| Provider Name | Kelly F Berry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891004123 PECOS PAC ID: 4688953581 Enrollment ID: I20161117000260 |
| Provider Name | Frank Joseph Santarsiero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306385265 PECOS PAC ID: 4688959778 Enrollment ID: I20170403001583 |
| Provider Name | Shannon Elbrecht Nash |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083011712 PECOS PAC ID: 1658624580 Enrollment ID: I20181023002563 |
| Provider Name | Brei Patience |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609425057 PECOS PAC ID: 1456681550 Enrollment ID: I20191002001463 |
| Provider Name | Mark L Rowan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316446206 PECOS PAC ID: 4789088683 Enrollment ID: I20210813000508 |
| Provider Name | Brenda Kyttle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407922958 PECOS PAC ID: 0648628032 Enrollment ID: I20231123000060 |
| Provider Name | Margaret Yeager |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235310749 PECOS PAC ID: 1254780885 Enrollment ID: I20231208000103 |
| Provider Name | Lynn Marie Distasio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821164393 PECOS PAC ID: 6204910649 Enrollment ID: I20231208000221 |
| Provider Name | Michele Lee Cassetori |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760558217 PECOS PAC ID: 4880043439 Enrollment ID: I20231208000532 |
| Provider Name | Miranda Grace Parry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407552938 PECOS PAC ID: 2264881812 Enrollment ID: I20231208000745 |
| Provider Name | Melissa Katherine Prushinski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932275310 PECOS PAC ID: 3779932249 Enrollment ID: I20231208001725 |
| Provider Name | Ralph Joseph Kovaleski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922174473 PECOS PAC ID: 4284083635 Enrollment ID: I20231211000715 |
| Provider Name | Sterling T Sprau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467684746 PECOS PAC ID: 9234588690 Enrollment ID: I20231211000909 |
| Provider Name | Shauna Phillips |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609390772 PECOS PAC ID: 8325497795 Enrollment ID: I20231211001270 |
| Provider Name | Theresa A Schuster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316013899 PECOS PAC ID: 9638528011 Enrollment ID: I20231211001577 |
| Provider Name | Ann Elizabeth Gorham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477334647 PECOS PAC ID: 4385093772 Enrollment ID: I20231211001852 |
| Provider Name | Jonathan Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013309582 PECOS PAC ID: 9234588625 Enrollment ID: I20231211002119 |
| Provider Name | Alexa Anais Plevyak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457854580 PECOS PAC ID: 7012366453 Enrollment ID: I20231212000328 |
| Provider Name | Alexander Lebiak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750876850 PECOS PAC ID: 5799134037 Enrollment ID: I20231212000575 |
| Provider Name | Alicia Orlowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093907271 PECOS PAC ID: 3375992613 Enrollment ID: I20231212000769 |
| Provider Name | Ann Lydia Jones |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942458245 PECOS PAC ID: 6800245150 Enrollment ID: I20231212000941 |
| Provider Name | Jennifer B Ostrowski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841366390 PECOS PAC ID: 3375992621 Enrollment ID: I20231212001231 |
| Provider Name | Justin Michael Steinberger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700582236 PECOS PAC ID: 9830548106 Enrollment ID: I20231212001617 |
| Provider Name | Carleena Wozniak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679254338 PECOS PAC ID: 7214386580 Enrollment ID: I20231212001882 |
| Provider Name | Janet Marie Coleman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265508741 PECOS PAC ID: 6406205632 Enrollment ID: I20231213000109 |
| Provider Name | Susan Marie Dwyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104830769 PECOS PAC ID: 8820191026 Enrollment ID: I20231213001243 |
| Provider Name | Ericka Marie Hornak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124351283 PECOS PAC ID: 0042669210 Enrollment ID: I20231213001743 |
| Provider Name | Taylor Tansley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952184392 PECOS PAC ID: 5193174027 Enrollment ID: I20231218000932 |
| Provider Name | Eric Paczewski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780750265 PECOS PAC ID: 8527417476 Enrollment ID: I20231218001894 |
| Provider Name | Kevin J Kozerski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790548253 PECOS PAC ID: 8123463395 Enrollment ID: I20240227003176 |
| Provider Name | Saige Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659069854 PECOS PAC ID: 6709221849 Enrollment ID: I20240228004669 |
| Provider Name | Samantha Lynn Pavolko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689438087 PECOS PAC ID: 1153766159 Enrollment ID: I20240229002515 |
| Provider Name | Stevie Lynn Calabrese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710275755 PECOS PAC ID: 2567905110 Enrollment ID: I20240624003042 |
| Provider Name | Katelyn Butczynski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295549756 PECOS PAC ID: 6406377340 Enrollment ID: I20250307000085 |
| Provider Name | Eric Thomas Jeffries |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184438509 PECOS PAC ID: 8123549664 Enrollment ID: I20250312003606 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Enterprises Llc 1086 Route 315, Plains, PA 18702 Ph: (570) 823-7761 | Derek Enterprises Llc 106 Rotary Drive, Valmont Industrial Park, W Hazleton, PA 18202 Ph: (570) 459-6333 |