| Andrew V Mattle, PT | |
|
3506 Thomas Drive, Lakeville, NY 14480 | |
| (585) 346-0060 | |
| (585) 346-0108 |
| Full Name | Andrew V Mattle |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 35 Years |
| Location | 3506 Thomas Drive, Lakeville, New York |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063488948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 012202 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physical Therapy Professionals, Pc | 1153486485 | 3 |
| Provider Name | Physical Therapy Professionals, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083834758 PECOS PAC ID: 1153486485 Enrollment ID: O20090219000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew V Mattle, PT 3506 Thomas Drive, Lakeville, NY 14480 Ph: (585) 346-0060 | Andrew V Mattle, PT 3506 Thomas Drive, Lakeville, NY 14480 Ph: (585) 346-0060 |
Ms. Robin Crist, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3506 Thomas Dr., Lakeville, NY 14480 Phone: 585-346-0060 | |
Dr. Kevin Walther, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3506 Thomas Dr, Lakeville, NY 14480 Phone: 585-346-0060 Fax: 585-346-0108 | |
Physical Therapy Professionals, Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3506 Thomas Dr, Lakeville, NY 14480 Phone: 585-346-0060 Fax: 585-346-0108 | |
Amanda Malamud, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3506 Thomas Dr, Lakeville, NY 14480 Phone: 585-346-0060 | |
Mrs. Kristi Marie Hagen Bauer, MSPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 3506 Thomas Dr, Lakeville, NY 14480 Phone: 585-346-0060 Fax: 585-346-0108 | |
Jennifer Bock, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3506 Thomas Dr, Lakeville, NY 14480 Phone: 585-346-0060 |