| Kevin Destephano, PT | |
|
812 S Saint Marys St, Saint Marys, PA 15857-2831 | |
| (814) 258-6008 | |
| Not Available |
| Full Name | Kevin Destephano |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 812 S Saint Marys St, Saint Marys, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780495093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT023561 (Pennsylvania) | Primary |
| Provider Name | Drayer Physical Therapy Institute Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538122700 PECOS PAC ID: 8224948666 Enrollment ID: O20040126000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Destephano, PT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 541-5846 | Kevin Destephano, PT 812 S Saint Marys St, Saint Marys, PA 15857-2831 Ph: (814) 258-6008 |
Frank Bouch, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 763 Johnsonburg Rd, Saint Marys, PA 15857 Phone: 814-788-8490 Fax: 814-788-8091 | |
Dr. Jolene Marie Cortina, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20 N Michael St, Saint Marys, PA 15857 Phone: 814-245-0488 | |
Anthony B Bertini, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1383 Bucktail Rd, Saint Marys, PA 15857 Phone: 814-834-0059 Fax: 814-834-0060 | |
Matt Mignot, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 757 Johnsonburg Rd, Saint Marys, PA 15857 Phone: 800-841-9397 | |
Phoenix Rehabilitation And Health Services, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 572 S Saint Marys St, Suite A, Saint Marys, PA 15857 Phone: 814-834-1190 Fax: 814-834-1197 | |
Mrs. Shawna Rae Ritter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 164 Saint Augustine Rd, Saint Marys, PA 15857 Phone: 814-834-4648 | |
Lynnette M Rupprecht, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 763 Johnsonburg Rd, Saint Marys, PA 15857 Phone: 814-788-8268 |