| Matthew Koval, | |
|
6534 Anthony Dr Ste C, Victor, NY 14564-1403 | |
| (585) 869-5140 | |
| Not Available |
| Full Name | Matthew Koval |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 6534 Anthony Dr Ste C, Victor, 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 |
|---|---|---|---|
| 1285147009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 042389 (New York) | Primary |
| Provider Name | Optimum Health And Wellness Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649577578 PECOS PAC ID: 3870775604 Enrollment ID: O20110315000559 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Koval, 6534 Anthony Dr Ste C, Victor, NY 14564-1403 Ph: () - | Matthew Koval, 6534 Anthony Dr Ste C, Victor, NY 14564-1403 Ph: (585) 869-5140 |
Allysyn Marie O'connell, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 590 Fishers Station Dr Ste 130, Victor, NY 14564 Phone: 585-924-7207 | |
Taylor Bowen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6534 Anthony Dr Ste C, Victor, NY 14564 Phone: 585-869-5140 | |
Owen Memelo, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7387 Pittsford Victor Rd Ste 950, Victor, NY 14564 Phone: 585-924-3250 Fax: 585-924-5127 | |
Meg Demario-macbain, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 590 Fishers Station Dr, Suite 130, Victor, NY 14564 Phone: 585-924-7207 | |
Allison Prescott, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6534 Anthony Dr Ste C, Victor, NY 14564 Phone: 585-869-5140 Fax: 585-869-5142 | |
Diana Hutton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 590 Fishers Station Dr, Suite 130, Victor, NY 14564 Phone: 585-924-7207 | |
Victor Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 274 W Main St, Victor, NY 14564 Phone: 585-924-3250 Fax: 585-924-5127 |