| John Kielbasa, | |
|
417 Grow Ave, Montrose, PA 18801-1105 | |
| (570) 278-1101 | |
| (570) 278-1102 |
| Full Name | John Kielbasa |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 417 Grow Ave, Montrose, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487375846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 29093 (Maryland) | Secondary |
| 225100000X | Physical Therapist | PT031336 (Pennsylvania) | Primary |
| Provider Name | Ati Holdings, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20140610001109 |
| Provider Name | Lhmg Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1750769055 PECOS PAC ID: 3870893738 Enrollment ID: O20151125000021 |
| Mailing Address | Practice Location Address |
|---|---|
| John Kielbasa, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | John Kielbasa, 417 Grow Ave, Montrose, PA 18801-1105 Ph: (570) 278-1101 |
Krista Rebuck, PT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 417 Grow Ave, Montrose, PA 18801 Phone: 570-278-1101 | |
Ethan Dinan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 417 Grow Ave, Montrose, PA 18801 Phone: 570-278-1101 Fax: 570-278-1102 | |
Doreen Fisher, P. T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Park St, Montrose, PA 18801 Phone: 570-278-0113 | |
Jacob Anthony Schweiger, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 417 Grow Ave, Montrose, PA 18801 Phone: 570-278-1101 | |
Thomas Vaccaro, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 417 Grow Ave, Montrose, PA 18801 Phone: 570-278-1101 | |
Charles Alan Burpee, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 417 Grow Ave, Montrose, PA 18801 Phone: 570-278-1101 Fax: 570-278-1102 | |
Emily Maggiore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 417 Grow Ave, Montrose, PA 18801 Phone: 570-278-1101 Fax: 570-278-1102 |