| Motive Sports And Physical Therapy Malvern, Llc | |
|
480 Lancaster Ave Ste 4, Frazer, PA 19355-1834 | |
| (610) 500-5296 | |
| (484) 359-0098 |
| Full Name | Motive Sports And Physical Therapy Malvern, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 480 Lancaster Ave Ste 4, Frazer, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871354159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Gregory Masiko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699773960 PECOS PAC ID: 5698759595 Enrollment ID: I20040617000473 |
| Provider Name | Meryl Goldstein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578561452 PECOS PAC ID: 1355310244 Enrollment ID: I20040928000502 |
| Provider Name | Michael Groh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215960281 PECOS PAC ID: 8325060270 Enrollment ID: I20051220000890 |
| Provider Name | Jennifer Lee O'gara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124132212 PECOS PAC ID: 0547264855 Enrollment ID: I20060829000159 |
| Provider Name | Mark Worrilow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689073207 PECOS PAC ID: 0840410437 Enrollment ID: I20141002000754 |
| Provider Name | Robert T Scanlon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447314455 PECOS PAC ID: 2365625316 Enrollment ID: I20210624002225 |
| Provider Name | Tyler W Hastings |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619647351 PECOS PAC ID: 8628475324 Enrollment ID: I20210922003766 |
| Provider Name | Kelsey E Noble |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083370035 PECOS PAC ID: 3971993460 Enrollment ID: I20211123002012 |
| Provider Name | Kristen Konieczny |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134870579 PECOS PAC ID: 4688068711 Enrollment ID: I20220307000059 |
| Provider Name | Elizabeth D'ginto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538842604 PECOS PAC ID: 8123481173 Enrollment ID: I20230824000890 |
| Provider Name | Abigail Bogovich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962269639 PECOS PAC ID: 9537505292 Enrollment ID: I20250326000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Motive Sports And Physical Therapy Malvern, Llc 540 Hopewell St, Birdsboro, PA 19508-2657 Ph: (610) 500-5296 | Motive Sports And Physical Therapy Malvern, Llc 480 Lancaster Ave Ste 4, Frazer, PA 19355-1834 Ph: (610) 500-5296 |
Audrey Damewood, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 480 Lancaster Ave Unit 4, Frazer, PA 19355 Phone: 620-500-5296 |