| Jillian Therese Witwicki, | |
|
23 Crystal Ave Unit 2a, Derry, NH 03038-2425 | |
| (603) 437-3338 | |
| Not Available |
| Full Name | Jillian Therese Witwicki |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 23 Crystal Ave Unit 2a, Derry, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780302273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5048 (New Hampshire) | Primary |
| Provider Name | Derry Sports & Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1487670386 PECOS PAC ID: 1052666807 Enrollment ID: O20180619001012 |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian Therese Witwicki, 139 Holten St, Danvers, MA 01923-2669 Ph: (978) 854-2342 | Jillian Therese Witwicki, 23 Crystal Ave Unit 2a, Derry, NH 03038-2425 Ph: (603) 437-3338 |
Seth Stoddard, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Tsienneto Rd, Suite 201, Derry, NH 03038 Phone: 603-437-3338 Fax: 603-437-3255 | |
Krista Jean Rogic, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 17 Village Brook Ln, Derry, NH 03038 Phone: 603-490-3706 | |
Laura Xintaras-labore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Tsienneto Rd, Derry, NH 03038 Phone: 603-437-3338 Fax: 603-437-3255 | |
Nicole M Rogers, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6 Tsienneto Road, Suite 201, Derry, NH 03038 Phone: 603-421-9959 Fax: 603-421-9960 | |
Marcus Armando Vesprini, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 6 Tsienneto Rd, Derry, NH 03038 Phone: 603-421-9959 | |
Casey Mcnamara, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8 Peabody Rd, Derry, NH 03038 Phone: 603-434-1566 | |
Ariele A Mcgrath, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 84 W Broadway, Derry, NH 03038 Phone: 781-202-6613 |