| Movement Headquarters Physical Therapy | |
|
67 Brightside Ave, East Northport, NY 11731-1903 | |
| (631) 681-7470 | |
| Not Available |
| Full Name | Movement Headquarters Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 67 Brightside Ave, East Northport, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629603022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Patrick C Gathman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093358046 PECOS PAC ID: 3678900412 Enrollment ID: I20200217004092 |
| Provider Name | John Spirito |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477148161 PECOS PAC ID: 0941617401 Enrollment ID: I20230131003268 |
| Provider Name | Scott Avery |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386422913 PECOS PAC ID: 8729438874 Enrollment ID: I20240102001758 |
| Mailing Address | Practice Location Address |
|---|---|
| Movement Headquarters Physical Therapy 10 Starlit Dr, Northport, NY 11768-3514 Ph: (631) 681-7470 | Movement Headquarters Physical Therapy 67 Brightside Ave, East Northport, NY 11731-1903 Ph: (631) 681-7470 |
Joseph Kleynowski, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 279 Larkfield Rd, East Northport, NY 11731 Phone: 631-262-1370 Fax: 631-262-0415 | |
Amy Piacentini, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 5 Alister Cir, East Northport, NY 11731 Phone: 631-543-7771 | |
Paul Henry Vazquez, M.S., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 457 Clay Pitts Rd, East Northport, NY 11731 Phone: 631-486-8572 Fax: 631-368-4975 | |
Ms. Kathleen C Fruehsamer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19 Wood Sorrell Ln, East Northport, NY 11731 Phone: 631-368-8009 | |
Emily Connolly, Physical Therapist Medicare: Medicare Enrolled Practice Location: 9a Hewitt Sq, East Northport, NY 11731 Phone: 631-721-9530 | |
Graceanne Lopez, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3072 Jericho Tpke, East Northport, NY 11731 Phone: 631-462-9595 | |
Stacy Lynn Riley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3072 Jericho Tpke, East Northport, NY 11731 Phone: 631-462-9595 Fax: 631-462-9613 |