| Frank T Russo, PT, DPT | |
|
1621 Highway 17 N, North Myrtle Beach, SC 29582-2229 | |
| (843) 353-3460 | |
| (843) 353-3461 |
| Full Name | Frank T Russo |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 1621 Highway 17 N, North Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164259552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12580 (South Carolina) | Secondary |
| 225100000X | Physical Therapist | 052834 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| J. Lamendola Physical Therapy, P.c. | 6800141565 | 13 |
| Provider Name | J. Lamendola Physical Therapy, P.c. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1982004958 PECOS PAC ID: 6800141565 Enrollment ID: O20180620002172 |
| Mailing Address | Practice Location Address |
|---|---|
| Frank T Russo, PT, DPT 210 Village Center Blvd Ste 140, Myrtle Beach, SC 29579-6706 Ph: (843) 353-3460 | Frank T Russo, PT, DPT 1621 Highway 17 N, North Myrtle Beach, SC 29582-2229 Ph: (843) 353-3460 |
Alexandra Christine Judge, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1621 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 843-353-3460 | |
Jacqueline Suzanne Ehmann, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 53rd Ave N, North Myrtle Beach, SC 29582 Phone: 704-984-3683 | |
Emily Costabile, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1621 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 843-427-0592 | |
Paul Vojtek, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1424 Highway 17 N Ste 2, North Myrtle Beach, SC 29582 Phone: 843-427-7132 Fax: 843-427-7154 | |
Jacob W Hamilton, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1621 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 843-353-3460 Fax: 843-353-3461 | |
Kristin L Heter, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1424 Highway 17 N Ste 2, North Myrtle Beach, SC 29582 Phone: 843-427-7132 Fax: 843-427-7154 |