| Benjamin Detrempe, | |
|
239 Northern Blvd Ste 5, South Abington Township, PA 18411-9302 | |
| (570) 319-6903 | |
| Not Available |
| Full Name | Benjamin Detrempe |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 239 Northern Blvd Ste 5, South Abington Township, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124877451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT032482 (Pennsylvania) | Primary |
| Provider Name | Impact Physio |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033459615 PECOS PAC ID: 1557501228 Enrollment ID: O20130702000041 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Detrempe, 823 Maple St, Scranton, PA 18505-1933 Ph: (570) 815-3420 | Benjamin Detrempe, 239 Northern Blvd Ste 5, South Abington Township, PA 18411-9302 Ph: (570) 319-6903 |
Impact Physio Physical Therapist Medicare: Medicare Enrolled Practice Location: 239 Northern Blvd Ste 5, South Abington Township, PA 18411 Phone: 570-319-6903 Fax: 570-416-2807 | |
Alan Serniak, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Marion Rd, South Abington Township, PA 18411 Phone: 570-807-4760 | |
Margaret Elizabeth Gifford, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 445 Dellert Dr, South Abington Township, PA 18411 Phone: 860-946-7661 | |
Siobhan Spager-yatko, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 128 Parkwood Ave, South Abington Township, PA 18411 Phone: 570-561-5740 | |
Gianna Kent Langan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 655 Northern Blvd, South Abington Township, PA 18411 Phone: 570-587-2142 | |
Thomas John Macdonald, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 655 Northern Blvd, South Abington Township, PA 18411 Phone: 570-587-2142 |