| Dr Dimitri Theofanis, PT, DPT, CSCS | |
|
91 S High St, Suite 3, Newville, PA 17241-1405 | |
| (717) 776-1058 | |
| Not Available |
| Full Name | Dr Dimitri Theofanis |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 91 S High St, Newville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932582590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT024377 (Pennsylvania) | Primary |
| Provider Name | Phs Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912300096 PECOS PAC ID: 9234454851 Enrollment ID: O20150202001629 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dimitri Theofanis, PT, DPT, CSCS 91 S High St, Suite 3, Newville, PA 17241-1405 Ph: () - | Dr Dimitri Theofanis, PT, DPT, CSCS 91 S High St, Suite 3, Newville, PA 17241-1405 Ph: (717) 776-1058 |
Morgan K Stodart, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 91 S High St Ste 3, Newville, PA 17241 Phone: 717-776-1058 Fax: 717-776-1078 | |
Jennifer Wickard, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 Big Spring Rd, Newville, PA 17241 Phone: 717-776-8255 Fax: 717-776-6266 | |
Kristin Ann Zwemer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 210 Big Spring Rd, Newville, PA 17241 Phone: 717-776-8200 | |
Joshua Connor, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 Big Spring Rd, Newville, PA 17241 Phone: 717-776-8200 | |
Rebecca C Tanz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 Big Spring Rd, Newville, PA 17241 Phone: 717-776-8200 | |
Kendal Mae Thomas, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 91 S High St, Suite 3, Newville, PA 17241 Phone: 717-776-1058 Fax: 717-776-1078 | |
Scott A Cooper, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 91 S High St Ste 3, Newville, PA 17241 Phone: 717-776-1058 Fax: 717-776-1078 |