| Lacey Cavallo, DPT | |
|
464 Grand Blvd, Long Beach, NY 11561-1742 | |
| (516) 330-9213 | |
| Not Available |
| Full Name | Lacey Cavallo |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 464 Grand Blvd, Long Beach, 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 |
|---|---|---|---|
| 1497281836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 0331971 (New York) | Primary |
| Provider Name | Beach Wellness Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396523585 PECOS PAC ID: 8325482953 Enrollment ID: O20240222000127 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Cavallo, DPT 464 Grand Blvd, Long Beach, NY 11561-1742 Ph: (516) 330-9213 | Lacey Cavallo, DPT 464 Grand Blvd, Long Beach, NY 11561-1742 Ph: (516) 330-9213 |
Ms. Felice Menchel, MS, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25 Neptune Blvd Apt 2r, Long Beach, NY 11561 Phone: 516-889-6242 Fax: 516-432-3367 | |
Renee Cieleski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 507 W Beech St, Long Beach, NY 11561 Phone: 516-889-1880 | |
Camila Tepper, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 322 E Harrison St, Long Beach, NY 11561 Phone: 917-991-7663 | |
Carl Mico Rojales Natividad, PT, CLT, CWS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 640 W Broadway, Long Beach, NY 11561 Phone: 516-431-4400 | |
Syeda Sharieff, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 375 E Bay Dr, Long Beach, NY 11561 Phone: 516-897-1110 | |
Bridget Kiernan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 266 W Park Ave, Long Beach, NY 11561 Phone: 516-432-3600 | |
Michael B Cohen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 38 W Penn St, Long Beach, NY 11561 Phone: 516-808-8258 |