| Mr Anthony J Grasso Jr, DPT | |
|
501 S Main St, Old Forge, PA 18518-1541 | |
| (570) 457-4099 | |
| Not Available |
| Full Name | Mr Anthony J Grasso Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 501 S Main St, Old Forge, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023556685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT025788 (Pennsylvania) | Primary |
| Provider Name | Physical Therapy Associates Of North East Pennsylvania Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1326054750 PECOS PAC ID: 3971583105 Enrollment ID: O20040720001373 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Anthony J Grasso Jr, DPT 1 Sonny Dr, Old Forge, PA 18518-1127 Ph: (570) 241-6733 | Mr Anthony J Grasso Jr, DPT 501 S Main St, Old Forge, PA 18518-1541 Ph: (570) 457-4099 |
Mr. Bernard Joseph Povanda, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 S Main St, Old Forge, PA 18518 Phone: 570-457-4099 Fax: 570-457-7225 | |
Mrs. Lynn Ann Winter, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 S Main St, Old Forge, PA 18518 Phone: 570-457-4099 Fax: 570-457-7205 | |
James M Minella, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12 Oakwood Dr, Old Forge, PA 18518 Phone: 570-498-3546 | |
Lisa Ann Pastore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 168 Bianca Way, Old Forge, PA 18518 Phone: 570-468-2509 | |
Jeffrey Frail, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 313 S Main St, Old Forge, PA 18518 Phone: 570-451-1122 Fax: 570-451-0541 | |
Ms. Kristina Grande, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Cheyenne Dr, Old Forge, PA 18518 Phone: 570-357-2887 |