| Brad Ciccolella, PT, MPT, OCS | |
|
3053 New Germany Rd, Ebensburg, PA 15931-3516 | |
| (800) 332-5740 | |
| Not Available |
| Full Name | Brad Ciccolella |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3053 New Germany Rd, Ebensburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346328465 | NPI | - | NPPES |
| 1066644 | Other | WV | WORKERS' COMP |
| 1845645 | Other | PA | HIGHMARK |
| 101582673-0001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT018032 (Pennsylvania) | Primary |
| Provider Name | Keystone Rehabilitation Systems Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205386547 PECOS PAC ID: 7012826753 Enrollment ID: O20161206001178 |
| Mailing Address | Practice Location Address |
|---|---|
| Brad Ciccolella, PT, MPT, OCS 3053 New Germany Rd, Ebensburg, PA 15931-3516 Ph: () - | Brad Ciccolella, PT, MPT, OCS 3053 New Germany Rd, Ebensburg, PA 15931-3516 Ph: (800) 332-5740 |
Kelly Cole Whitsel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3053 New Germany Rd, Ebensburg, PA 15931 Phone: 800-332-5740 | |
Sara Kehrer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3035 New Germany Rd, Ebensburg, PA 15931 Phone: 814-472-1100 Fax: 814-472-1105 | |
Laura Winslow, PT, DPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3053 New Germany Rd, Ebensburg, PA 15931 Phone: 800-332-5740 | |
Scott Rosen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3053 New Germany Rd, Ebensburg, PA 15931 Phone: 800-332-5740 | |
Rajiv Sawhney, PT, MS, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3053 New Germany Rd, Ebensburg, PA 15931 Phone: 800-332-5740 | |
Kelli Robine, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 152 Zeman Dr, Ebensburg, PA 15931 Phone: 814-471-2200 | |
Mrs. Kelly Diane Werner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: College Park Plaza, Suite 540, Ebensburg, PA 15931 Phone: 814-472-9070 Fax: 814-472-9067 |