| Jacob Young, DPT | |
|
5848 Old Bethlehem Pike Ste 102, Center Valley, PA 18034-9341 | |
| (484) 526-7111 | |
| Not Available |
| Full Name | Jacob Young |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 5848 Old Bethlehem Pike Ste 102, Center Valley, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073038550 | NPI | - | NPPES |
| 0446631 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT033361 (Pennsylvania) | Primary |
| Provider Name | Independent Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104878354 PECOS PAC ID: 9335056308 Enrollment ID: O20040928000202 |
| Provider Name | Results-ast Jv Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780291948 PECOS PAC ID: 4486066396 Enrollment ID: O20201217003061 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Young, DPT 1255 Danner Rd Ste 1261, Macungie, PA 18062-8735 Ph: (484) 522-1639 | Jacob Young, DPT 5848 Old Bethlehem Pike Ste 102, Center Valley, PA 18034-9341 Ph: (484) 526-7111 |
Kenneth Luczejko, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5848 Old Bethlehem Pike, Suite 102, Center Valley, PA 18034 Phone: 610-282-2600 Fax: 610-282-3227 | |
Melissa Delvecchio, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5848 Old Bethlehem Pike Ste 102, Center Valley, PA 18034 Phone: 484-526-7111 | |
Robin Szarzynski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5848 Old Bethlehem Pike, Suite 102, Center Valley, PA 18034 Phone: 610-282-2600 Fax: 610-282-3227 | |
Brianna Mathews, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5848 Old Bethlehem Pike Ste 102, Center Valley, PA 18034 Phone: 484-526-7111 | |
Dr. Kimberly Graziano Thomas, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5848 Old Bethlehem Pike Ste 102, Center Valley, PA 18034 Phone: 610-776-8334 Fax: 610-776-3185 | |
Sylva Zelena, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5848 Old Bethlehem Pike Ste 102, Center Valley, PA 18034 Phone: 484-526-7111 |