| John Smith, | |
|
936 Roosevelt St, Franklin Square, NY 11010 | |
| (516) 355-0547 | |
| (516) 326-8251 |
| Full Name | John Smith |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 36 Years |
| Location | 936 Roosevelt St, Franklin Square, New York |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578618823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 011955 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dynamic Physical Therapy P.c. | 0648308973 | 2 |
| Provider Name | Dynamic Physical Therapy P.c. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1053640904 PECOS PAC ID: 0648308973 Enrollment ID: O20150310001711 |
| Mailing Address | Practice Location Address |
|---|---|
| John Smith, 936 Roosevelt St, Franklin Square, NY 11010 Ph: (516) 355-0547 | John Smith, 936 Roosevelt St, Franklin Square, NY 11010 Ph: (516) 355-0547 |
Chae Lin Yoo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 925 Hempstead Tpke # 310, Franklin Square, NY 11010 Phone: 516-354-3980 | |
Gregory Pando, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 340 Dogwood Ave, Franklin Square, NY 11010 Phone: 516-437-5300 Fax: 516-437-2936 | |
Mrs. Susan Sisselman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 562 Dogwood Avenue, Franklin Square, NY 11010 Phone: 516-538-2259 Fax: 516-292-0817 | |
Dynamic Physical Therapy P.c. Physical Therapist Medicare: Medicare Enrolled Practice Location: 936 Roosevelt St, Franklin Square, NY 11010 Phone: 516-355-0547 Fax: 516-326-8251 | |
Stephanie Lynn Barken, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 925 Hempstead Tpke Ste 310, Franklin Square, NY 11010 Phone: 516-354-3980 | |
Gabriella Davidson, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 925 Hempstead Tpke Ste 310, Franklin Square, NY 11010 Phone: 516-354-3980 | |
Francesco Vaccaro, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 Hempstead Tpke, Franklin Square, NY 11010 Phone: 516-358-8911 |