| Callie Ariane Mousley, | |
|
82 N Main St, Carbondale, PA 18407-1914 | |
| (570) 282-0200 | |
| (570) 282-2229 |
| Full Name | Callie Ariane Mousley |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 82 N Main St, Carbondale, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114781663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT032089 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Callie Ariane Mousley, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (570) 550-0168 | Callie Ariane Mousley, 82 N Main St, Carbondale, PA 18407-1914 Ph: (570) 282-0200 |
Anne Molly Malone, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Hart Pl, Carbondale, PA 18407 Phone: 570-267-3959 | |
Kyle Passeri, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 82 N Main St Ste 1, Carbondale, PA 18407 Phone: 570-282-0200 Fax: 570-282-2229 | |
Gina Caporali, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 45 N Scott St, Carbondale, PA 18407 Phone: 570-282-1099 Fax: 570-282-5070 | |
Ms. Deanna Marie Spott, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10 Hart Pl, Carbondale, PA 18407 Phone: 570-282-5264 | |
Niko Manetti, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 82 N Main St, Suite 1, Carbondale, PA 18407 Phone: 570-282-0200 Fax: 570-282-2229 | |
Jason Christopher Dwyer, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 82 N Main St, Carbondale, PA 18407 Phone: 570-282-0200 Fax: 570-282-2229 |