| Marisa Kephart, PT | |
|
75 E Derry Rd, Hershey, PA 17033-2705 | |
| (717) 298-6245 | |
| (717) 298-7774 |
| Full Name | Marisa Kephart |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 75 E Derry Rd, Hershey, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710929021 | NPI | - | NPPES |
| 0018567660009 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT011667L (Pennsylvania) | Primary |
| Provider Name | Family Practice Center Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154376937 PECOS PAC ID: 0244124212 Enrollment ID: O20040211000012 |
| Mailing Address | Practice Location Address |
|---|---|
| Marisa Kephart, PT 270 Susquehanna Valley Mall Dr Ste 300, Selinsgrove, PA 17870-9115 Ph: (570) 743-1703 | Marisa Kephart, PT 75 E Derry Rd, Hershey, PA 17033-2705 Ph: (717) 298-6245 |
Amy Bunting, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Mc A410, Hershey, PA 17033 Phone: 800-243-1455 | |
Mr. Paul James Brower Jr., MSPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Hope Drive, Department Of Therapy Services, Mail Code Ec 130, Suite 1500, Hershey, PA 17033 Phone: 717-531-8070 | |
Mrs. Mandy M Webb, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8521 | |
Anna Kleppinger, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr # Mca410, Hershey, PA 17033 Phone: 800-243-1455 | |
Amanda Noonan, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 | |
Suzanne Keener, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Mc Ec130, Hershey, PA 17033 Phone: 717-531-6801 Fax: 717-531-4558 | |
Christopher J Papson, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 32 Northeast Dr, Suite 203, Hershey, PA 17033 Phone: 717-533-0215 Fax: 717-533-0218 |