| Eclipse Physical Therapy And Wellness Llc | |
|
6325 Route 209, Kerhonkson, NY 12446 | |
| (845) 647-4171 | |
| (845) 647-4174 |
| Full Name | Eclipse Physical Therapy And Wellness Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 6325 Route 209, Kerhonkson, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891824322 | NPI | - | NPPES |
| Q5W5D1 | Other | NY | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 011893 (New York) | Primary |
| Provider Name | Daniel L Millrood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588742787 PECOS PAC ID: 7911940572 Enrollment ID: I20050604000028 |
| Provider Name | Matthew Dylan Rogers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821567215 PECOS PAC ID: 5799022059 Enrollment ID: I20190124000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Eclipse Physical Therapy And Wellness Llc Po Box 685, Kerhonkson, NY 12446-0685 Ph: (845) 647-4171 | Eclipse Physical Therapy And Wellness Llc 6325 Route 209, Kerhonkson, NY 12446 Ph: (845) 647-4171 |
Carlos Perez, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Academy St, Kerhonkson, NY 12446 Phone: 845-687-2400 | |
Mrs. Theresa Anne Marcel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 73 Vantine Rd, Kerhonkson, NY 12446 Phone: 845-626-8104 | |
Dr. Matthew Dylan Rogers, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6325 Route Us 209, Kerhonkson, NY 12446 Phone: 845-647-4171 Fax: 845-647-4174 |