| Stacy Lynn Riley, PT | |
|
3072 Jericho Tpke, East Northport, NY 11731-6214 | |
| (631) 462-9595 | |
| (631) 462-9613 |
| Full Name | Stacy Lynn Riley |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 16 Years |
| Location | 3072 Jericho Tpke, East Northport, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215244611 | NPI | - | NPPES |
| 032998-1 | Other | NY | UNIVERSITY OF NEW YORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 032998-1 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Island Sports Physiotherapy Pc | 4082503040 | 8 |
| Provider Name | Island Sports Physical Therapy Of Smithtown, P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639109770 PECOS PAC ID: 8325938319 Enrollment ID: O20040315001544 |
| Provider Name | Island Sports Physiotherapy Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366482408 PECOS PAC ID: 4082503040 Enrollment ID: O20090521000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Lynn Riley, PT 3072 Jericho Tpke, East Northport, NY 11731-6214 Ph: (631) 462-9595 | Stacy Lynn Riley, PT 3072 Jericho Tpke, East Northport, NY 11731-6214 Ph: (631) 462-9595 |
Joseph Kleynowski, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 279 Larkfield Rd, East Northport, NY 11731 Phone: 631-262-1370 Fax: 631-262-0415 | |
Amy Piacentini, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5 Alister Cir, East Northport, NY 11731 Phone: 631-543-7771 | |
Paul Henry Vazquez, M.S., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 457 Clay Pitts Rd, East Northport, NY 11731 Phone: 631-486-8572 Fax: 631-368-4975 | |
Ms. Kathleen C Fruehsamer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19 Wood Sorrell Ln, East Northport, NY 11731 Phone: 631-368-8009 | |
Emily Connolly, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9a Hewitt Sq, East Northport, NY 11731 Phone: 631-721-9530 | |
Graceanne Lopez, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3072 Jericho Tpke, East Northport, NY 11731 Phone: 631-462-9595 |