John Nason Pettengill, MSPT, CERT MDT | |
434 W Aaron Dr, Suite104, State College, PA 16803-3074 | |
(814) 235-9995 | |
(814) 235-9616 |
Full Name | John Nason Pettengill |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 38 Years |
Location | 434 W Aaron Dr, State College, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811090368 | NPI | - | NPPES |
PT005964L | Other | PA | PHYSICAL THERAPY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT005964L (Pennsylvania) | Primary |
Provider Name | Back To Life Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033220470 PECOS PAC ID: 3870587884 Enrollment ID: O20040413000466 |
Mailing Address | Practice Location Address |
---|---|
John Nason Pettengill, MSPT, CERT MDT 131 Hunter Wood Way, Port Matilda, PA 16870-7037 Ph: () - | John Nason Pettengill, MSPT, CERT MDT 434 W Aaron Dr, Suite104, State College, PA 16803-3074 Ph: (814) 235-9995 |
Easter Seals Central Pa Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 383 Rolling Ridge Dr, State College, PA 16801 Phone: 814-689-1911 | |
Heather B Walker, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2160 Sandy Dr, Ste A, State College, PA 16803 Phone: 814-861-8122 Fax: 814-861-4292 | |
Lindsey R Chura, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2160 Sandy Dr, Ste A, State College, PA 16803 Phone: 814-861-8122 Fax: 814-861-4292 | |
Dr. Kayla L Gee, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1850 E Park Ave Ste 112, State College, PA 16803 Phone: 814-865-3566 | |
Kathryn Sherril Nieman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 177 Champion Dr Ste 100, State College, PA 16803 Phone: 814-238-3485 Fax: 814-692-2272 | |
Andrew J Renaud, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1850 E Park Ave, Suite 112, State College, PA 16803 Phone: 814-865-3566 Fax: 814-235-2492 | |
Brian W Schulz, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1850 E Park Ave, Ste 112, State College, PA 16803 Phone: 800-243-1455 Fax: 814-863-7803 |