| Mr Badreddin Nourmohammadi, PT | |
|
6700 Kirkville Rd, Ste 202 1/2, East Syracuse, NY 13057-9305 | |
| (315) 701-1515 | |
| (315) 449-1118 |
| Full Name | Mr Badreddin Nourmohammadi |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 6700 Kirkville Rd, East Syracuse, 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 |
|---|---|---|---|
| 1437256534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 021657 (New York) | Primary |
| Provider Name | Select Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20220401001852 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Badreddin Nourmohammadi, PT 4567 Crossroads Park Dr, Liverpool, NY 13088-3589 Ph: (315) 295-2100 | Mr Badreddin Nourmohammadi, PT 6700 Kirkville Rd, Ste 202 1/2, East Syracuse, NY 13057-9305 Ph: (315) 701-1515 |
Ms. Katherine Mary Lyons, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6711 Towpath Rd Ste 100, East Syracuse, NY 13057 Phone: 315-637-4747 Fax: 315-637-6711 | |
Nicholas Joseph Munro, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6620 Fly Rd Ste 102, East Syracuse, NY 13057 Phone: 315-399-4770 Fax: 315-399-4771 | |
Mrs. Sue Ann Kayne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6296 Fly Rd, East Syracuse, NY 13057 Phone: 315-701-5710 Fax: 315-701-5711 | |
Christopher T Hall, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 314 E 1st St, East Syracuse, NY 13057 Phone: 315-443-9884 Fax: 315-410-5554 | |
Marissa Mcnamara, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5823 Widewaters Pkwy Ste 3, East Syracuse, NY 13057 Phone: 315-418-4000 Fax: 315-446-4248 | |
Emily Valentino, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6723 Towpath Rd, East Syracuse, NY 13057 Phone: 315-425-1004 | |
Connor Delaney, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5823 Widewaters Pkwy, East Syracuse, NY 13057 Phone: 315-418-4013 Fax: 315-478-0388 |