| Mark Taylor Grandinetti, PT, DPT | |
|
1011 W Penn Ave, Robesonia, PA 19551-9550 | |
| (610) 589-2263 | |
| (610) 589-2232 |
| Full Name | Mark Taylor Grandinetti |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1011 W Penn Ave, Robesonia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497489116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT030591 (Pennsylvania) | Primary |
| 225100000X | Physical Therapist | TPT023609 (Pennsylvania) | Secondary |
| Provider Name | Strive Physical Therapy Specialists Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1659962587 PECOS PAC ID: 6709292535 Enrollment ID: O20210408001068 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Taylor Grandinetti, PT, DPT 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (856) 677-4000 | Mark Taylor Grandinetti, PT, DPT 1011 W Penn Ave, Robesonia, PA 19551-9550 Ph: (610) 589-2263 |
Western Berks Physical Therapy Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1011 W Penn Ave, Robesonia, PA 19551 Phone: 610-589-2263 Fax: 610-589-2232 | |
Elizabeth Lawrey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1011 W Penn Ave, Robesonia, PA 19551 Phone: 610-589-2263 | |
Mr. Kevin Walter Krause, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1011 W Penn Ave, Robesonia, PA 19551 Phone: 610-589-2263 Fax: 610-589-2232 | |
Adam George Broad, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1011 W Penn Ave, Robesonia, PA 19551 Phone: 610-589-2663 Fax: 610-589-2232 | |
Deborah Rae Mckim, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1011 W Penn Ave, Robesonia, PA 19551 Phone: 610-589-2263 Fax: 610-589-2232 | |
Laura Dawson Cahan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1011 W Penn Ave, Robesonia, PA 19551 Phone: 610-589-2263 Fax: 610-589-2232 |