| Jenna Crocilla, PT | |
|
328 E State St, Herkimer, NY 13350-2026 | |
| (315) 794-8530 | |
| Not Available |
| Full Name | Jenna Crocilla |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 328 E State St, Herkimer, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922762145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 047716 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jonathan T Small Physical Therapy Pllc | 9436428166 | 2 |
| Provider Name | Jonathan T Small Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861928020 PECOS PAC ID: 9436428166 Enrollment ID: O20170711003458 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Crocilla, PT 328 E State St, Herkimer, NY 13350-2026 Ph: (315) 794-8530 | Jenna Crocilla, PT 328 E State St, Herkimer, NY 13350-2026 Ph: (315) 794-8530 |
Blase Thomas Pachura, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3061 State Route 28, Herkimer, NY 13350 Phone: 315-717-0020 | |
Shawna Marmet, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3061 State Route 28, Herkimer, NY 13350 Phone: 315-717-0020 | |
Sheila M Burth, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 419 N Main St, Herkimer, NY 13350 Phone: 315-717-0278 Fax: 315-717-0280 | |
Jared Tripoli, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3061 State Route 28, Herkimer, NY 13350 Phone: 315-717-0022 Fax: 315-717-0024 | |
Rebekah Jean Sirtoli White, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3061 State Route 28, Herkimer, NY 13350 Phone: 315-717-0020 Fax: 315-717-0024 | |
Daniel N Curri, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 152 N Main St, Herkimer, NY 13350 Phone: 315-717-0020 Fax: 315-717-0024 | |
Tom Woznica, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3061 State Route 28, Herkimer, NY 13350 Phone: 315-717-0020 Fax: 315-717-0024 |