| Elite Spine And Sports Physical Therapy Lp | |
|
182 Butler St, Wilkes Barre, PA 18702-4465 | |
| (570) 970-0402 | |
| (570) 970-0403 |
| Full Name | Elite Spine And Sports Physical Therapy Lp |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 182 Butler St, Wilkes Barre, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932810819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Jack Eric Digwood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891720496 PECOS PAC ID: 3274575451 Enrollment ID: I20050607000216 |
| Provider Name | Kristen J Digwood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093825374 PECOS PAC ID: 5193814671 Enrollment ID: I20071207000019 |
| Provider Name | Alicia L Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265790240 PECOS PAC ID: 2264681600 Enrollment ID: I20121001000018 |
| Provider Name | Jamie N Romancik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750794483 PECOS PAC ID: 7911124383 Enrollment ID: I20140807001906 |
| Provider Name | David J Wisowaty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881159887 PECOS PAC ID: 1658610696 Enrollment ID: I20190308000885 |
| Provider Name | Olivia Jendrzejewski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831746312 PECOS PAC ID: 9234469917 Enrollment ID: I20190923002357 |
| Provider Name | Matthew Joseph Traver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841574761 PECOS PAC ID: 0941606701 Enrollment ID: I20210902002943 |
| Provider Name | Samantha Missal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912361197 PECOS PAC ID: 8325426505 Enrollment ID: I20220531000674 |
| Provider Name | Thomas Helmstetter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215650692 PECOS PAC ID: 2163808700 Enrollment ID: I20221004003670 |
| Provider Name | Sydney Kern |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659008787 PECOS PAC ID: 4284001587 Enrollment ID: I20221028002033 |
| Provider Name | Sarah Reeder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689370447 PECOS PAC ID: 4587038369 Enrollment ID: I20230317000608 |
| Provider Name | Clare Winton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740987650 PECOS PAC ID: 9032575642 Enrollment ID: I20230523002385 |
| Provider Name | Alexander Lebiak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750876850 PECOS PAC ID: 5799134037 Enrollment ID: I20231212000575 |
| Provider Name | Alexandra Ulloa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528838299 PECOS PAC ID: 3173975133 Enrollment ID: I20240116002319 |
| Provider Name | Taylor Nargoski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902684699 PECOS PAC ID: 2163962986 Enrollment ID: I20240909000171 |
| Provider Name | Neil Dorman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245061258 PECOS PAC ID: 0749720126 Enrollment ID: I20240912000354 |
| Provider Name | Devin Nicholas Dougherty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033914577 PECOS PAC ID: 0345760906 Enrollment ID: I20250226000985 |
| Provider Name | Brianna Elizabeth Fox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881499648 PECOS PAC ID: 8527588060 Enrollment ID: I20250227000233 |
| Provider Name | Kathy Dao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487392932 PECOS PAC ID: 6709304629 Enrollment ID: I20250515000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Spine And Sports Physical Therapy Lp 182 Butler St, Wilkes Barre, PA 18702-4465 Ph: (570) 970-0402 | Elite Spine And Sports Physical Therapy Lp 182 Butler St, Wilkes Barre, PA 18702-4465 Ph: (570) 970-0402 |
Annpat Sullivan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 53 Gravel St, Wilkes Barre, PA 18705 Phone: 570-371-5600 | |
Ms. Susan H Barry, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 71 North Franklin Street, Wilkes Barre, PA 18701 Phone: 570-829-2453 Fax: 570-829-2462 | |
Kara Martin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7300 | |
Danielle Frank, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 182 Butler St, Wilkes Barre, PA 18702 Phone: 570-970-0402 | |
Abigail Richter, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1122 Highway 315 Blvd, Wilkes Barre, PA 18702 Phone: 877-407-3422 Fax: 877-407-4329 | |
Thomas Redenski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 440 N River St, Wilkes Barre, PA 18702 Phone: 570-831-8622 | |
Devin Nicholas Dougherty, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 182 Butler St, Wilkes Barre, PA 18702 Phone: 570-970-0402 |