| First State Rehab At Home, Llc | |
|
111 Oxford Pl, Wilmington, DE 19803-4517 | |
| (443) 252-7367 | |
| (888) 509-1710 |
| Full Name | First State Rehab At Home, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 111 Oxford Pl, Wilmington, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407229677 | NPI | - | NPPES |
| Provider Name | Shannon M Liew |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316182900 PECOS PAC ID: 6800950650 Enrollment ID: I20090123000143 |
| Provider Name | Deborah Louise Gangemi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992849681 PECOS PAC ID: 4981663432 Enrollment ID: I20130910000040 |
| Provider Name | Thomas J Gangemi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366586042 PECOS PAC ID: 2264329200 Enrollment ID: I20150414000187 |
| Provider Name | John Petrides |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982923652 PECOS PAC ID: 4486847233 Enrollment ID: I20170906003903 |
| Provider Name | Pratiksha Prakashchandra Bothara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497235402 PECOS PAC ID: 0143677054 Enrollment ID: I20231115001168 |
| Mailing Address | Practice Location Address |
|---|---|
| First State Rehab At Home, Llc 111 Oxford Pl, Wilmington, DE 19803-4517 Ph: (302) 304-9729 | First State Rehab At Home, Llc 111 Oxford Pl, Wilmington, DE 19803-4517 Ph: (443) 252-7367 |
Jason Paul Beaman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 905 Newgate Ln, Wilmington, DE 19808 Phone: 302-636-9363 |
Stephanie Butler, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Rockland Rd, Wilmington, DE 19803 Phone: 302-651-4000 |
Jillanne Burke, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 807 W 22nd St, Wilmington, DE 19802 Phone: 302-290-1587 |
Flora Gilder, Physical Therapist Medicare: Medicare Enrolled Practice Location: 701 Foulk Rd Ste 2a, Wilmington, DE 19803 Phone: 877-407-3422 Fax: 877-407-4329 |
Ms. Lisa Hope Goodfriend, MPT, CWS, FCCWS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7th And Clayton Streets, St. Frances Wound Care Center, Suite 601 Msb, Wilmington, DE 19805 Phone: 302-575-8180 Fax: 302-575-8185 |
Dr. Meredith Hershey Perny, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 62 Rockford Rd, Suite11b, Wilmington, DE 19806 Phone: 302-429-6252 |
Megan Brady, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 305 N Union St Ste 101, Wilmington, DE 19805 Phone: 302-778-0810 Fax: 302-778-0812 |