| Health Aquatic Wellness Of Chautauqua Physical Therapy Pllc | |
|
3266 Fluvanna Avenue Ext, Fluvanna, NY 14701-9706 | |
| (716) 708-6179 | |
| (716) 463-2228 |
| Full Name | Health Aquatic Wellness Of Chautauqua Physical Therapy Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3266 Fluvanna Avenue Ext, Fluvanna, 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 |
|---|---|---|---|
| 1144980962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Candace M Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801810122 PECOS PAC ID: 4688601321 Enrollment ID: I20050725000974 |
| Provider Name | Kimberly Nicole Ristau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548400732 PECOS PAC ID: 3072662303 Enrollment ID: I20090518000001 |
| Provider Name | Daile M Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306134267 PECOS PAC ID: 2365614955 Enrollment ID: I20111003000629 |
| Provider Name | Megan E Mckinley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023363702 PECOS PAC ID: 2466600200 Enrollment ID: I20120919000591 |
| Provider Name | Wayne E Quattrone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659632966 PECOS PAC ID: 1850540428 Enrollment ID: I20120926000305 |
| Provider Name | Rosemary J Williamson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699197814 PECOS PAC ID: 7012140981 Enrollment ID: I20140429002077 |
| Provider Name | Hunter Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366192544 PECOS PAC ID: 3375910441 Enrollment ID: I20221102000772 |
| Provider Name | Adam Michael Pangborn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760218291 PECOS PAC ID: 2062940125 Enrollment ID: I20250116003568 |
| Mailing Address | Practice Location Address |
|---|---|
| Health Aquatic Wellness Of Chautauqua Physical Therapy Pllc 3266 Fluvanna Avenue Ext, Fluvanna, NY 14701-9706 Ph: () - | Health Aquatic Wellness Of Chautauqua Physical Therapy Pllc 3266 Fluvanna Avenue Ext, Fluvanna, NY 14701-9706 Ph: (716) 708-6179 |
Kimberly Nicole Ristau, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3266 Fluvanna Avenue Ext, Fluvanna, NY 14701 Phone: 814-688-6119 | |
Wayne E Quattrone Ii, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3266 Fluvanna Avenue Ext, Fluvanna, NY 14701 Phone: 716-720-1896 | |
Dr. Adam Michael Pangborn, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3266 Fluvanna Avenue Ext, Fluvanna, NY 14701 Phone: 716-708-6179 | |
Candace Marie Brown, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3266 Fluvanna Avenue Ext, Fluvanna, NY 14701 Phone: 716-708-6179 |