| Mr Kenneth Micko, PT | |
|
620 State Route 35, Middletown, NJ 07748-4224 | |
| (732) 671-9560 | |
| Not Available |
| Full Name | Mr Kenneth Micko |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 620 State Route 35, Middletown, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114149382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT40QA01024400 (New Jersey) | Primary |
| Provider Name | Bridgeway Care At Home Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104383421 PECOS PAC ID: 6406198373 Enrollment ID: O20190424001051 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Micko, PT 620 State Route 35, Middletown, NJ 07748-4224 Ph: (732) 671-9560 | Mr Kenneth Micko, PT 620 State Route 35, Middletown, NJ 07748-4224 Ph: (732) 671-9560 |
Dr. Jessica Brooke Golden, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 Arose Ln, Middletown, NJ 07748 Phone: 732-290-5185 Fax: 732-612-1410 | |
Peter Terilli, PT, DPT ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 268 Pelican Rd, Middletown, NJ 07748 Phone: 585-730-0913 | |
Meaghan Dowdell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1215 Highway 35, Middletown, NJ 07748 Phone: 732-639-0068 | |
Ms. Erika Weber, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1676 Highway 35, Middletown, NJ 07748 Phone: 732-533-5193 Fax: 732-451-3615 | |
Mrs. Liliane Bittencourt Scafidi, P.T.,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 403 April Way, Middletown, NJ 07748 Phone: 774-488-9513 | |
Joint Physical Therapy And Sports Medicine Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 40 Old Country Rd, Middletown, NJ 07748 Phone: 908-670-0861 |