| Jack W Sylvia, DPT | |
| 1 Emile Levasseur Dr, Sanford, ME 04073 | |
| (207) 490-7700 | |
| Not Available | 
| Full Name | Jack W Sylvia | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 1 Emile Levasseur Dr, Sanford, Maine | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053196964 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | PT6607 (Maine) | Primary | 
| Provider Name | Back In Motion Physical Therapy Llc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1821165960 PECOS PAC ID: 7416926704 Enrollment ID: O20041004000108 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jack W Sylvia, DPT 1 Emile Levasseur Dr, Sanford, ME 04073 Ph: (207) 490-7700 | Jack W Sylvia, DPT 1 Emile Levasseur Dr, Sanford, ME 04073 Ph: (207) 490-7700 | 
| Stepping Forward Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13 Brock Ave, Sanford, ME 04073 Phone: 207-459-4716 | |
| Ms. Gwendolyn Jane Simons, PT,JD,OCS,FAAOMPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1068 Main St, Suite A, Sanford, ME 04073 Phone: 207-324-6789 Fax: 207-324-9394 | |
| Laura Ruth Sugrue, MSPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1068 Main St Ste A, Sanford, ME 04073 Phone: 207-324-6789 Fax: 844-292-4021 | |
| Timothy Mousette, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13 July St, Sanford, ME 04073 Phone: 207-490-7098 | |
| Kathleen Mary Collette, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13 July St, Sanford, ME 04073 Phone: 207-490-7098 | |
| Plw Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1068 Main St, Box 11, Sanford, ME 04073 Phone: 207-324-1611 Fax: 207-324-1611 |