| Christopher John Stankiewicz Jr, | |
|
462 Washington Ave, Units 1-3, North Haven, CT 06473 | |
| (203) 745-4973 | |
| (203) 821-7417 |
| Full Name | Christopher John Stankiewicz Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 462 Washington Ave, North Haven, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205499266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 013783 (Connecticut) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (NU) | Secondary |
| Provider Name | Revive Therapy LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528527942 PECOS PAC ID: 0648511030 Enrollment ID: O20190412000081 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher John Stankiewicz Jr, 21 Lake Rd, North Branford, CT 06471-1253 Ph: (203) 871-9662 | Christopher John Stankiewicz Jr, 462 Washington Ave, Units 1-3, North Haven, CT 06473 Ph: (203) 745-4973 |
Synergy Rehabilitation Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 52 Washington Ave, Suite 4, North Haven, CT 06473 Phone: 203-691-0961 |
Stephen Giblin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 State St, North Haven, CT 06473 Phone: 203-239-4274 Fax: 203-239-4290 |
Anthony Agtane Salonga, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Manomet Ave, North Haven, CT 06473 Phone: 203-909-4468 |
Mr. Aeden P. Morley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 State Street, C/o Quinnipiac Physical Therapy & Sports Medicine, North Haven, CT 06473 Phone: 203-239-4274 Fax: 202-239-4290 |
Garrett Linske, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 State St, North Haven, CT 06473 Phone: 203-239-4274 Fax: 203-239-4290 |
Marie G Nierenberg, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 State St, North Haven, CT 06473 Phone: 203-239-4274 Fax: 203-239-4290 |
Denise Berendt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 163 Quinnipiac Ave, North Haven, CT 06473 Phone: 203-624-3303 |