| Fruition Physical Therapy Pllc | |
|
2747 Crescent St Ste 203, Astoria, NY 11102-3142 | |
| (347) 869-9798 | |
| Not Available |
| Full Name | Fruition Physical Therapy Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2747 Crescent St Ste 203, Astoria, 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 |
|---|---|---|---|
| 1386218733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Ode Egharevba |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578159422 PECOS PAC ID: 5496169062 Enrollment ID: I20210122002315 |
| Mailing Address | Practice Location Address |
|---|---|
| Fruition Physical Therapy Pllc 100 Broadway Unit 594, Lynbrook, NY 11563-5013 Ph: (347) 869-9798 | Fruition Physical Therapy Pllc 2747 Crescent St Ste 203, Astoria, NY 11102-3142 Ph: (347) 869-9798 |
Jessica S Benardello, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3711 35th Ave, Suite 3c & 3g, Astoria, NY 11101 Phone: 718-706-7500 | |
Maegan Aquino, PTRP, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2816 21st St, Astoria, NY 11102 Phone: 718-912-2865 | |
Dr. Jerome Tolentino Rivera Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3119 33rd St Apt 1, Astoria, NY 11106 Phone: 859-810-1597 | |
Mariel Tubig, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3244 31st St, Astoria, NY 11106 Phone: 718-682-7408 | |
Anjie Ace Garciano Zozobrado, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3272 Steinway St Ste B02, Astoria, NY 11103 Phone: 646-744-8903 | |
Eleonor C Malinao, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3270 31st St, Astoria, NY 11106 Phone: 718-626-2699 Fax: 718-626-0923 | |
Mr. Michael Torres Pulgo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3250 44th St Apt 2r, Astoria, NY 11103 Phone: 917-499-1880 Fax: 917-499-1880 |