| George L Gradwell Jr, PT, DPT | |
|
1500 Horizon Dr Ste 102e, Chalfont, PA 18914-3966 | |
| (215) 712-0300 | |
| Not Available |
| Full Name | George L Gradwell Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 4 Years |
| Location | 1500 Horizon Dr Ste 102e, Chalfont, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023747730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT030590 (Pennsylvania) | Primary |
| 225100000X | Physical Therapist | 2305215874 (Virginia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ivyrehab Sept, Llc | 7911990908 | 213 |
| Provider Name | Ivyrehab Sept, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982657433 PECOS PAC ID: 7911990908 Enrollment ID: O20240212002520 |
| Mailing Address | Practice Location Address |
|---|---|
| George L Gradwell Jr, PT, DPT Po Box 411503, Boston, MA 02241-1503 Ph: (914) 294-4050 | George L Gradwell Jr, PT, DPT 1500 Horizon Dr Ste 102e, Chalfont, PA 18914-3966 Ph: (215) 712-0300 |
Mrs. Michele Susan Fareno, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 123 Statesman Rd, Chalfont, PA 18914 Phone: 215-822-2029 | |
Lauren Griffies, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Steward Ln Ste 100, Chalfont, PA 18914 Phone: 215-789-6543 Fax: 215-789-6544 | |
Scott Dickenson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Horizon Dr Ste 102e, Chalfont, PA 18914 Phone: 215-712-0300 Fax: 302-831-4468 | |
Ms. Marsha Ellen Berger Grant, MS PT OCJ Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 Horizon Dr, Ste 102e, Chalfont, PA 18914 Phone: 215-712-0300 Fax: 215-712-9040 | |
Stuart Adam Markowitz, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 229 Coventry Rd, Chalfont, PA 18914 Phone: 215-716-3224 | |
Dana Mcpeak, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1500 Horizon Dr Ste 102e, Chalfont, PA 18914 Phone: 215-712-0300 Fax: 215-712-9040 |