| Brandon Kelley, DPT | |
|
42 Complex Dr, Wyalusing, PA 18853-7803 | |
| (570) 746-0504 | |
| (570) 746-0470 |
| Full Name | Brandon Kelley |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 42 Complex Dr, Wyalusing, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881376085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT031531 (Pennsylvania) | Primary |
| Provider Name | Pivot Physical Therapy Of Pennsylvania Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881132488 PECOS PAC ID: 4981971843 Enrollment ID: O20170515000834 |
| Provider Name | Roscoe Physiotherapy Co. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194255786 PECOS PAC ID: 1153694690 Enrollment ID: O20170906000986 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Kelley, DPT 151 N Hermitage Rd, Hermitage, PA 16148-3345 Ph: (724) 982-4266 | Brandon Kelley, DPT 42 Complex Dr, Wyalusing, PA 18853-7803 Ph: (570) 746-0504 |
Dr. Allen Kohl Williams Iii, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 42 Complex Dr, Wyalusing, PA 18853 Phone: 570-746-0504 Fax: 570-746-0470 | |
Holly Elizabeth Champluvier, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box 17 C, Wyalusing, PA 18853 Phone: 570-885-0739 | |
Alexandrea Steele, Physical Therapist Medicare: Medicare Enrolled Practice Location: 42 Complex Dr, Wyalusing, PA 18853 Phone: 570-746-0504 | |
Sierra Schertler, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 42 Complex Dr, Wyalusing, PA 18853 Phone: 570-746-0504 | |
Mr. Marcus Andrew Redline, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 42 Complex Dr, Wyalusing, PA 18853 Phone: 570-746-0504 Fax: 570-746-0470 | |
Lucas Daniel Raymond, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 42 Complex Dr, Wyalusing, PA 18853 Phone: 570-746-0504 | |
Olivia Noone, Physical Therapist Medicare: Medicare Enrolled Practice Location: 42 Complex Dr, Wyalusing, PA 18853 Phone: 570-746-0504 |