| Maxwell Ketschke, | |
|
8002 Kew Gardens Rd Fl 4, Kew Gardens, NY 11415-3604 | |
| (347) 954-0978 | |
| Not Available |
| Full Name | Maxwell Ketschke |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 8002 Kew Gardens Rd Fl 4, Kew Gardens, 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 |
|---|---|---|---|
| 1194456731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Ivyrehab Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396799409 PECOS PAC ID: 7012997638 Enrollment ID: O20040723000705 |
| Provider Name | Professional Occupational & Physical Therapy, Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1205296902 PECOS PAC ID: 3779873401 Enrollment ID: O20160608000715 |
| Mailing Address | Practice Location Address |
|---|---|
| Maxwell Ketschke, 576 Broadhollow Rd, Melville, NY 11747-5002 Ph: (631) 359-5859 | Maxwell Ketschke, 8002 Kew Gardens Rd Fl 4, Kew Gardens, NY 11415-3604 Ph: (347) 954-0978 |
Qamar Ishfaq, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8460 123rd St Fl 2, Kew Gardens, NY 11415 Phone: 929-478-1655 | |
Jamie Lois Lorenzo Fabros, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8046 Kew Gardens Rd, Kew Gardens, NY 11415 Phone: 718-261-1000 | |
Michiko Alla Uy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8046 Kew Gardens Rd, Kew Gardens, NY 11415 Phone: 718-261-1000 | |
Klein Physical Therapy Care Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 12516 83rd Dr Apt 5b, Kew Gardens, NY 11415 Phone: 562-331-9715 | |
Promet Physical Therapy, Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12308 Metropolitan Ave, Kew Gardens, NY 11415 Phone: 718-880-2385 Fax: 718-880-2386 | |
Dr. Joseph Robert Pancari Ii, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11818 Union Tpke Apt 4j, Kew Gardens, NY 11415 Phone: 631-827-9270 |