Martyna Ponce, | |
1076 Ribaut Rd Ste 102, Beaufort, SC 29902-5490 | |
(843) 379-0836 | |
Not Available |
Full Name | Martyna Ponce |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1076 Ribaut Rd Ste 102, Beaufort, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194366906 | NPI | - | NPPES |
051843 | Other | NY | NEW YORK STATE EDUCATION DEPARTMENT |
40QA01994000 | Other | NJ | NEW JERSEY DIVISION OF CONSUMER AFFAIRS |
CP032508T | Other | SC | PT LICENSE |
296510 | Other | CA | PHYSICAL THERAPY BOARD OF CALIFORNIA |
12614 | Other | SC | BOARD OF PHYSICAL THERAPY |
PT38839 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
Provider Name | Two Trees Physical Therapy & Wellness Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1770830325 PECOS PAC ID: 5597915603 Enrollment ID: O20121026000251 |
Mailing Address | Practice Location Address |
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Martyna Ponce, 80 S Maple Ave, Springfield, NJ 07081-1906 Ph: (973) 376-4182 | Martyna Ponce, 1076 Ribaut Rd Ste 102, Beaufort, SC 29902-5490 Ph: (843) 379-0836 |
Brian Esterle, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1076 Ribaut Rd Ste 100, Beaufort, SC 29902 Phone: 843-379-0836 | |
Raymond Cross, PT DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-1318 | |
Michael Wayne Twitty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1076 Ribaut Rd Ste 102, Beaufort, SC 29902 Phone: 843-521-1970 Fax: 843-521-0908 | |
Michael George Konoza, MSPT, ATC Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1076 Ribaut Rd, Suite102, Beaufort, SC 29902 Phone: 843-521-1970 Fax: 843-521-0908 | |
Thomas Alexander Sehon, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2121 Boundary St Ste 200, Beaufort, SC 29902 Phone: 843-524-4778 Fax: 843-524-4779 | |
Jessica Danielle Mcgarvey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-5473 | |
Carla Marshall Carson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1076 Ribaut Rd, Suite 102, Beaufort, SC 29902 Phone: 843-521-1970 |