| Kimberly Fereza, | |
|
950 S Central Ave Ste 6, Canonsburg, PA 15317-1489 | |
| (724) 844-6936 | |
| Not Available |
| Full Name | Kimberly Fereza |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 950 S Central Ave Ste 6, Canonsburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871781526 | NPI | - | NPPES |
| 1871781526 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT008670L (Pennsylvania) | Primary |
| Provider Name | Mortland Physical Therapy & Sports Medicine |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1306887278 PECOS PAC ID: 5890783260 Enrollment ID: O20040504001009 |
| Provider Name | Orthopedic & Sports Physical Therapy Associates, Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689636581 PECOS PAC ID: 5890609887 Enrollment ID: O20090603000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Fereza, 950 S Central Ave Ste 6, Canonsburg, PA 15317-1489 Ph: (724) 884-6936 | Kimberly Fereza, 950 S Central Ave Ste 6, Canonsburg, PA 15317-1489 Ph: (724) 844-6936 |
Shannon Vissman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 227 Demar Blvd, Canonsburg, PA 15317 Phone: 724-745-6055 Fax: 724-745-6057 | |
Athena Withrow, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 Waterdam Rd Ste 120, Canonsburg, PA 15317 Phone: 724-942-1511 | |
Anthony Paul Filipponi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Hill Church Houston Rd, Canonsburg, PA 15317 Phone: 724-745-8000 Fax: 724-745-7625 | |
Wayne Patrick Schmidt, MS, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 227 Demar Blvd, Canonsburg, PA 15317 Phone: 724-745-6055 | |
Lorra Barron, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Medical Blvd, Canonsburg, PA 15317 Phone: 724-745-3919 | |
Tiffany M Gray, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Village Dr, Canonsburg, PA 15317 Phone: 724-746-1300 Fax: 724-746-0522 | |
Elisha Kushner, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 198 Galley Rd, Canonsburg, PA 15317 Phone: 814-730-6366 |