| Joseph Stephen Facciolo, DPT | |
|
91 Perimeter Rd, Rome, NY 13441-4018 | |
| (315) 336-3480 | |
| Not Available |
| Full Name | Joseph Stephen Facciolo |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 91 Perimeter Rd, Rome, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881312262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 049274-01 (New York) | Primary |
| Provider Name | Sports Physical Therapy Of New York, P.c. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1912950072 PECOS PAC ID: 4284531674 Enrollment ID: O20150203001143 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Stephen Facciolo, DPT 91 Perimeter Rd, Rome, NY 13441-4018 Ph: (315) 336-3480 | Joseph Stephen Facciolo, DPT 91 Perimeter Rd, Rome, NY 13441-4018 Ph: (315) 336-3480 |
R Christopher Bouton, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 221 S James St, Bouton Physical Therapy, Rome, NY 13440 Phone: 315-337-1436 Fax: 315-337-1437 | |
Kiana Kennedy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 91 Perimeter Rd, Rome, NY 13441 Phone: 315-336-3480 | |
Bouton Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 221 S James St, Bouton Physical Therapy, Rome, NY 13440 Phone: 315-337-1436 Fax: 315-336-1437 | |
Ms. Megan E Croniser, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 N James St, Rome, NY 13440 Phone: 315-338-7154 Fax: 315-338-7417 | |
Cynthia M Brown, PT, OTR/L Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 W Dominick St, Rome, NY 13440 Phone: 315-337-1533 Fax: 315-337-1531 | |
Mrs. Michelle Dyer Denison, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8679 Elmer Hill Rd, Rome, NY 13440 Phone: 315-339-4836 Fax: 315-339-1742 | |
Lynn Mastracco, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 409 Bell Rd S, Rome, NY 13440 Phone: 315-338-6500 |