| Katelyn Butczynski, | |
|
100 N Mountain Blvd, Mountain Top, PA 18707-1119 | |
| (570) 474-6100 | |
| Not Available |
| Full Name | Katelyn Butczynski |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 100 N Mountain Blvd, Mountain Top, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295549756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT033001 (Pennsylvania) | Primary |
| Provider Name | Alycam Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861578460 PECOS PAC ID: 9032568886 Enrollment ID: O20231206000313 |
| Provider Name | Dylan Rc Enterprises Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679165559 PECOS PAC ID: 7315396231 Enrollment ID: O20231218000756 |
| Provider Name | Derek Enterprises Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1659457158 PECOS PAC ID: 1355791252 Enrollment ID: O20231219000023 |
| Provider Name | Steffie Enterprises, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1184700684 PECOS PAC ID: 0840225736 Enrollment ID: O20240119000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Katelyn Butczynski, 112 Meadow Crest Dr, Nanticoke, PA 18634-4312 Ph: (570) 704-7410 | Katelyn Butczynski, 100 N Mountain Blvd, Mountain Top, PA 18707-1119 Ph: (570) 474-6100 |
Amy Melissa Wiedlich, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 119 S Main Rd, Mountain Top, PA 18707 Phone: 570-208-5571 Fax: 570-208-5548 | |
Lyzette Castro, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 513 Ryan Way, Mountain Top, PA 18707 Phone: 708-925-4434 | |
Mr. Jeffrey Orloski, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 359 Lake Rd, Mountain Top, PA 18707 Phone: 570-417-0305 | |
Mr. John Michael Heiser, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 119 S Main Rd, Mountain Top, PA 18707 Phone: 570-474-6210 | |
Dr. David Michael Havard, PT, DPT, CPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 252 S Main Rd, Mountain Top, PA 18707 Phone: 570-762-9728 | |
Mr. Sterling T Sprau Iii, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1274 Blytheburn Rd, Mountain Top, PA 18707 Phone: 570-868-0435 |