| Dr John R Kohutanycz, PT, DPT | |
|
1719 Main St, Lake Como, NJ 07719-3097 | |
| (732) 894-9200 | |
| (732) 894-9202 |
| Full Name | Dr John R Kohutanycz |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 13 Years |
| Location | 1719 Main St, Lake Como, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942621933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA15030300 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sportsmed Pt Llc | 0749535805 | 180 |
| Provider Name | Sportsmed Pt Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841787645 PECOS PAC ID: 0749535805 Enrollment ID: O20180614001056 |
| Provider Name | Esd Pt Ot & Slp Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1003383308 PECOS PAC ID: 5991044125 Enrollment ID: O20210128001265 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John R Kohutanycz, PT, DPT 1719 Main St, Lake Como, NJ 07719-3097 Ph: (732) 894-9200 | Dr John R Kohutanycz, PT, DPT 1719 Main St, Lake Como, NJ 07719-3097 Ph: (732) 894-9200 |
Chintan Pragnesh Shah, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 | |
Eleanor C Register, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 | |
Jose Padua Cariaso, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1719 Main St Unit 101, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 | |
Joshua N Chu, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9000 Fax: 732-894-9202 | |
Vincent Cavaliere, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 | |
Justin Gardner, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 | |
Abelardo Ethan Termulo Iii, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 505 18th Ave, Lake Como, NJ 07719 Phone: 609-865-3884 |