| Kenneth Christopher Paz, DPT | |
|
5479 Pottsville Pike, Suite 200, Leesport, PA 19533-8650 | |
| (610) 926-6778 | |
| (610) 926-7200 |
| Full Name | Kenneth Christopher Paz |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 5479 Pottsville Pike, Leesport, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174076400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT025511 (Pennsylvania) | Primary |
| Provider Name | Hr Physician Services |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1730650151 PECOS PAC ID: 0042109902 Enrollment ID: O20190312002859 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Christopher Paz, DPT 415 36th St, Suite 100, Parkersburg, WV 26101-1005 Ph: (304) 917-3660 | Kenneth Christopher Paz, DPT 5479 Pottsville Pike, Suite 200, Leesport, PA 19533-8650 Ph: (610) 926-6778 |
Gabrielle Freed, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5479 Pottsville Pike Ste 200, Leesport, PA 19533 Phone: 610-926-6778 | |
Kathryn E Mitten, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1011 Berks Road, Leesport, PA 19533 Phone: 610-376-4841 | |
Kristin Waldrop, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 291 Kindt Corner Rd, Leesport, PA 19533 Phone: 606-209-3185 | |
Brady Fidler, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1001 James Dr Ste A14, Leesport, PA 19533 Phone: 484-671-2065 Fax: 484-671-2354 | |
Mr. Stephen Gregg Decker, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5479 Pottsville Pike, Suite 200, Leesport, PA 19533 Phone: 610-926-6778 Fax: 610-926-7200 | |
Dr. Steven Roughton, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1011 Berk Rd, Leesport, PA 19533 Phone: 610-376-4841 |