| Mr Gary John Shuttleworth, | |
|
1070 Old National Pike, Fredericktown, PA 15333-2114 | |
| (724) 632-6801 | |
| Not Available |
| Full Name | Mr Gary John Shuttleworth |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1070 Old National Pike, Fredericktown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184615940 | NPI | - | NPPES |
| 1676875 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT009691L (Pennsylvania) | Primary |
| Provider Name | Crossroads Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1437690021 PECOS PAC ID: 5799057071 Enrollment ID: O20170822000372 |
| Provider Name | Consonant Healing Medical Associates |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588122535 PECOS PAC ID: 1254662695 Enrollment ID: O20210511002102 |
| Provider Name | Rehabcare Group East, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1770537821 PECOS PAC ID: 0042128894 Enrollment ID: O20230620000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gary John Shuttleworth, 1070 Old National Pike, Fredericktown, PA 15333-2114 Ph: (724) 632-6801 | Mr Gary John Shuttleworth, 1070 Old National Pike, Fredericktown, PA 15333-2114 Ph: (724) 632-6801 |
Centerville Clinics, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 Fax: 724-632-6312 | |
Dr. Scott Robert Hargraves, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 Ridgewood Dr, Fredericktown, PA 15333 Phone: 724-377-1933 |