| Alyse Ann Widger, DPT | |
|
455 Chestnut St, Meadville, PA 16335-4404 | |
| (814) 547-6510 | |
| (814) 547-6511 |
| Full Name | Alyse Ann Widger |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 14 Years |
| Location | 455 Chestnut St, Meadville, Pennsylvania |
| 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 |
|---|---|---|---|
| 1104198431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT26514 (Florida) | Secondary |
| 225100000X | Physical Therapist | PT024250 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeside Physical Therapy And Wellness Llc | 9638590722 | 3 |
| Provider Name | Lakeside Physical Therapy And Wellness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689212136 PECOS PAC ID: 9638590722 Enrollment ID: O20200527002379 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyse Ann Widger, DPT 1257 Carmont Dr, Meadville, PA 16335-2822 Ph: (814) 671-8353 | Alyse Ann Widger, DPT 455 Chestnut St, Meadville, PA 16335-4404 Ph: (814) 547-6510 |
Carolyn Boughner, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 Grove St, Meadville, PA 16335 Phone: 814-333-5521 | |
Alden Physical Therapy Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 764 Bessemer St, Suite 102, Meadville, PA 16335 Phone: 814-337-9535 Fax: 814-337-8140 | |
Colleen P Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18360 Conneaut Lake Rd Ste 2, Meadville, PA 16335 Phone: 814-460-1348 Fax: 814-333-7001 | |
Peggy Sue Mckinley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11277 Vernon Pl, Meadville, PA 16335 Phone: 814-333-5214 Fax: 814-333-1482 | |
Melvin Burger Jr., Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 751 Liberty St, Meadville, PA 16335 Phone: 814-333-5655 | |
Alfred Leonard Hartick Iv, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 751 Liberty St, Meadville, PA 16335 Phone: 814-333-5000 |