| Jeanette Brianne Miller, | |
|
12120 Route 30, North Huntingdon, PA 15642-1840 | |
| (724) 864-4155 | |
| (724) 864-4659 |
| Full Name | Jeanette Brianne Miller |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 12120 Route 30, North Huntingdon, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417193186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT019674 (Pennsylvania) | Primary |
| Provider Name | East Suburban Sports Medicine Center Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1750384988 PECOS PAC ID: 6901708890 Enrollment ID: O20230503002379 |
| Provider Name | East Suburban Sports Medicine Center Lp |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1730925538 PECOS PAC ID: 6507306909 Enrollment ID: O20240912001034 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanette Brianne Miller, 12120 Route 30, North Huntingdon, PA 15642-1840 Ph: (724) 864-4155 | Jeanette Brianne Miller, 12120 Route 30, North Huntingdon, PA 15642-1840 Ph: (724) 864-4155 |
John Michael Feher, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12120 Route 30, North Huntingdon, PA 15642 Phone: 724-864-4155 | |
David R Reynolds, MHS, PT, ACS, SCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 40 Lincoln Way, Norwin Professional Building, North Huntingdon, PA 15642 Phone: 724-863-8681 Fax: 724-863-1526 | |
Dr. Joel Joseph Antonucci, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12116 Route 30, North Huntingdon, PA 15642 Phone: 724-382-5626 Fax: 724-382-5627 | |
Mrs. Catharine Merritt Dixon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11400 Carroll Street St, North Huntingdon, PA 15642 Phone: 724-864-3803 | |
Betsy Park, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 249 Maus Dr, North Huntingdon, PA 15642 Phone: 724-863-9118 Fax: 724-863-8334 | |
Mrs. Carla Miller Lowman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13898 Route 30, North Huntingdon, PA 15642 Phone: 724-861-6001 Fax: 724-861-9155 |