| Dr Tara Gannon, DPT | |
|
233 E Lancaster Ave, Suite 100, Ardmore, PA 19003-2321 | |
| (610) 642-4494 | |
| Not Available |
| Full Name | Dr Tara Gannon |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 11 Years |
| Location | 233 E Lancaster Ave, Ardmore, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467838466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT024485 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pennsylvania Luna Care Physical Therapy Llc | 7012338973 | 42 |
| Provider Name | Pennsylvania Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528689445 PECOS PAC ID: 7012338973 Enrollment ID: O20200601001529 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tara Gannon, DPT 1901 Greenhill Rd, Lansdowne, PA 19050-1011 Ph: () - | Dr Tara Gannon, DPT 233 E Lancaster Ave, Suite 100, Ardmore, PA 19003-2321 Ph: (610) 642-4494 |
Mrs. Desirae Urban, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 E Lancaster Ave, Suite 106, Ardmore, PA 19003 Phone: 484-297-6491 Fax: 610-896-7218 | |
Bounce Back Physical Therapy Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 74 Rittenhouse Pl, Ardmore, PA 19003 Phone: 484-282-0660 Fax: 484-282-0666 | |
Hilary Park, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 E Lancaster Ave, Suite 106, Ardmore, PA 19003 Phone: 484-297-6491 Fax: 610-896-7218 | |
Andrew Bacon, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 E Lancaster Ave Ste 205, Ardmore, PA 19003 Phone: 484-297-6491 | |
Cassidy Jameson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 E Lancaster Ave Ste 205, Ardmore, PA 19003 Phone: 484-297-6491 | |
Kayla Martin, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 E Lancaster Ave Ste 205, Ardmore, PA 19003 Phone: 484-297-6491 Fax: 610-896-7218 | |
Michael F Horne, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Pont Reading Rd, Ardmore, PA 19003 Phone: 610-664-6464 |