| Dr Ofra Alex Pottorf, DPT | |
|
12 Technology Dr Unit 2, East Setauket, NY 11733-4049 | |
| (631) 689-2009 | |
| (631) 689-2113 |
| Full Name | Dr Ofra Alex Pottorf |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 12 Technology Dr Unit 2, East Setauket, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144544099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 032240-1 (New York) | Primary |
| Provider Name | Sports Physical Therapy Occupational Therapy And Rehabilitation Servic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770540593 PECOS PAC ID: 0446140446 Enrollment ID: O20040315001603 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ofra Alex Pottorf, DPT 129 Berkeley Ave, Selden, NY 11784-1903 Ph: (516) 380-9646 | Dr Ofra Alex Pottorf, DPT 12 Technology Dr Unit 2, East Setauket, NY 11733-4049 Ph: (631) 689-2009 |
Christine C Masterson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 33 Research Way Ste 9, East Setauket, NY 11733 Phone: 631-444-4240 Fax: 631-444-4713 | |
Jennifer Lynn Braun, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 196 Belle Mead Rd, Ste 2 And 3, East Setauket, NY 11733 Phone: 631-941-3535 Fax: 631-941-3599 | |
Dr. Richard Wayne Johnson, PT, EDD Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12 Technology Dr, East Setauket, NY 11733 Phone: 631-689-2009 Fax: 631-689-2113 | |
Anita Dantzig, DPT, CHT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14 Technology Dr Ste 5, East Setauket, NY 11733 Phone: 631-444-4210 Fax: 631-444-4764 | |
Ms. Regina Grace Powers, P.T.,M.S. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 128 Old Town Rd, Lower Level @ Setauket Office Park, East Setauket, NY 11733 Phone: 631-444-5603 Fax: 631-444-5604 | |
Po-yu Huang, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12 Technology Dr Unit 2, East Setauket, NY 11733 Phone: 631-681-0851 |