| Jonathan T Small Physical Therapy Pllc | |
|
316 East State Street, Herkimer, NY 13350-2026 | |
| (315) 794-8530 | |
| Not Available |
| Full Name | Jonathan T Small Physical Therapy Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 316 East State Street, Herkimer, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861928020 | NPI | - | NPPES |
| 039368-1 | Other | NY | NYS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 039368-1 (New York) | Primary |
| Provider Name | Jonathan T Small |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639518053 PECOS PAC ID: 2567692379 Enrollment ID: I20151125001258 |
| Provider Name | Jenna Crocilla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922762145 PECOS PAC ID: 1355732868 Enrollment ID: I20211216002148 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan T Small Physical Therapy Pllc 316 East State Street, Herkimer, NY 13350-2026 Ph: () - | Jonathan T Small Physical Therapy Pllc 316 East State Street, Herkimer, NY 13350-2026 Ph: (315) 794-8530 |
Blase Thomas Pachura, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3061 State Route 28, Herkimer, NY 13350 Phone: 315-717-0020 | |
Shawna Marmet, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3061 State Route 28, Herkimer, NY 13350 Phone: 315-717-0020 | |
Sheila M Burth, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 419 N Main St, Herkimer, NY 13350 Phone: 315-717-0278 Fax: 315-717-0280 | |
Jared Tripoli, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3061 State Route 28, Herkimer, NY 13350 Phone: 315-717-0022 Fax: 315-717-0024 | |
Rebekah Jean Sirtoli White, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3061 State Route 28, Herkimer, NY 13350 Phone: 315-717-0020 Fax: 315-717-0024 | |
Daniel N Curri, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 152 N Main St, Herkimer, NY 13350 Phone: 315-717-0020 Fax: 315-717-0024 | |
Tom Woznica, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3061 State Route 28, Herkimer, NY 13350 Phone: 315-717-0020 Fax: 315-717-0024 |