| Jennifer Marie Tatlock, DPT | |
|
178 Clizbe Ave, Amsterdam, NY 12010-2935 | |
| (518) 842-1425 | |
| (518) 842-1706 |
| Full Name | Jennifer Marie Tatlock |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 178 Clizbe Ave, Amsterdam, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871807958 | NPI | - | NPPES |
| 03005754 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 032826-1 (New York) | Primary |
| Provider Name | Physical Therapy Associates Of Schenectady Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1669553376 PECOS PAC ID: 9032013420 Enrollment ID: O20031126000464 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Marie Tatlock, DPT 42 Saratoga Rd, Scotia, NY 12302-3412 Ph: (518) 399-6861 | Jennifer Marie Tatlock, DPT 178 Clizbe Ave, Amsterdam, NY 12010-2935 Ph: (518) 842-1425 |
Mrs. Traci Lynn Sarabia, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 43 Liberty Dr, Amsterdam, NY 12010 Phone: 518-954-2027 Fax: 518-842-3507 | |
Luc-matthew Pangan Munoz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 178 Clizbe Ave, Amsterdam, NY 12010 Phone: 518-842-1425 | |
William Hentenaar, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Henrietta Blvd, Amsterdam, NY 12010 Phone: 518-843-3003 | |
Olivia L. Hirschy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Henrietta Blvd, Amsterdam, NY 12010 Phone: 518-843-3003 | |
Miss Katherine Elizabeth Kennedy, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5010 State Highway 30, Suite 101, Amsterdam, NY 12010 Phone: 518-212-6291 | |
Cassandra Ruth Berghammer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 178 Clizbe Ave, Amsterdam, NY 12010 Phone: 518-842-1425 Fax: 518-842-1706 | |
Michaela M Hodson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Sandy Dr, Amsterdam, NY 12010 Phone: 518-843-3503 |