| American/dutch Physical Therapy | |
|
150 James Way, Southampton, PA 18966-3818 | |
| (215) 635-5575 | |
| (215) 635-5456 |
| Full Name | American/dutch Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Neurology |
| Location | 150 James Way, Southampton, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003095324 | NPI | - | NPPES |
| 078730 | Other | PA | PTAN |
| 1019816960001 | Medicaid | PA | |
| 078730 | Other | PA | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251N0400X | Physical Therapist - Neurology | PT015515 (Pennsylvania) | Primary |
| 305S00000X | Point Of Service | PT015515 (Pennsylvania) | Secondary |
| Provider Name | Vadim Brodsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720158330 PECOS PAC ID: 1052309085 Enrollment ID: I20040506000189 |
| Mailing Address | Practice Location Address |
|---|---|
| American/dutch Physical Therapy 3538 Oriole Dr, Huntingdon Valley, PA 19006-3412 Ph: (215) 635-5575 | American/dutch Physical Therapy 150 James Way, Southampton, PA 18966-3818 Ph: (215) 635-5575 |
Kidology, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 928 Jaymor Rd Ste C-150, Southampton, PA 18966 Phone: 215-330-4116 | |
Susan Kille, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 238 Street Rd, Southampton, PA 18966 Phone: 215-364-2550 | |
Michele Mancinelli, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 Street Rd, Suite 104, Southampton, PA 18966 Phone: 215-675-4466 Fax: 215-675-3711 | |
Nicole Donnelly, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 Street Rd, Southampton, PA 18966 Phone: 215-675-4466 Fax: 215-675-3711 | |
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