| Marissa Kiefer, DPT | |
|
35 Longwood Rd, Middle Island, NY 11953-2045 | |
| (631) 924-0008 | |
| (631) 924-4602 |
| Full Name | Marissa Kiefer |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 35 Longwood Rd, Middle Island, 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 |
|---|---|---|---|
| 1528608965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 045266 (New York) | Primary |
| Provider Name | Professional Care Physical Therapy And Rehabilitation P.c |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1659518157 PECOS PAC ID: 7517023351 Enrollment ID: O20090304000028 |
| Provider Name | Goodman Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1295163533 PECOS PAC ID: 1355573155 Enrollment ID: O20140409001959 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Kiefer, DPT 35 Longwood Rd, Middle Island, NY 11953-2045 Ph: (631) 924-0008 | Marissa Kiefer, DPT 35 Longwood Rd, Middle Island, NY 11953-2045 Ph: (631) 924-0008 |
Vilma Biado Vicencio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Longwood Rd, Middle Island, NY 11953 Phone: 631-924-0008 | |
Taylor White, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Longwood Rd, Middle Island, NY 11953 Phone: 631-924-0008 | |
Miss Marielle Grace Austin, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Longwood Rd, Middle Island, NY 11953 Phone: 631-924-0008 | |
Ms. Laura Werler, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Longwood Rd, Middle Island, NY 11953 Phone: 631-924-0008 | |
Mr. Terrence Allen Walsh, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 505 Tudor Ln, Middle Island, NY 11953 Phone: 631-924-2334 | |
Caelyn Reilly, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Longwood Rd, Middle Island, NY 11953 Phone: 631-924-0008 |