| Mr Larry Wayne Mattocks Jr, PT | |
|
1599 North Hermitage Rd, Hermitage, PA 16148 | |
| (724) 962-7920 | |
| (724) 962-6029 |
| Full Name | Mr Larry Wayne Mattocks Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 17 Years |
| Location | 1599 North Hermitage Rd, Hermitage, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588644546 | NPI | - | NPPES |
| 1016368810002 | Medicaid | PA | |
| 104392 | Other | PA | UPMC |
| 220033 | Other | PA | HEALTH AMERICA/HEALTH ASSURANCE |
| 5160144 | Other | PA | AETNA |
| 548783 | Other | PA | HIGHMARK GROUP |
| 724159 | Other | PA | HEALTH AMERICA/HEALTH ASSURANCE |
| 025221 | Other | PA | MEDICARE GROUP |
| 1983093 | Other | PA | HIGHMARK GROUP |
| 118111 | Other | PA | MEDICARE GROUP |
| 417718 | Other | PA | HIGHMARK |
| 579C | Other | PA | UPMC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT007303L (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Penn Ohio Rehabilitation, Pc | 5799879482 | 12 |
| Provider Name | Penn Ohio Rehabilitation, Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1386837268 PECOS PAC ID: 5799879482 Enrollment ID: O20070926000392 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Larry Wayne Mattocks Jr, PT 1599 N Hermitage Rd, Hermitage, PA 16148-3180 Ph: (724) 962-7920 | Mr Larry Wayne Mattocks Jr, PT 1599 North Hermitage Rd, Hermitage, PA 16148 Ph: (724) 962-7920 |
Mr. Jamie Linn Cidila, M.S.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1899 E State St, Hermitage, PA 16148 Phone: 724-308-7391 | |
Ms. Rochelle M. Gracilla, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1455 Bolde Dr, Apt 1-d, Hermitage, PA 16148 Phone: 814-573-0314 | |
Evan Ross Passalinqua, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1599 N Hermitage Rd, Hermitage, PA 16148 Phone: 724-662-1776 Fax: 724-662-1858 | |
Leroy S. Clark, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3120 Highland Rd, Hermitage, PA 16148 Phone: 724-342-2663 | |
Thomas Masters Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3140 Highland Rd, Suite 101, Hermitage, PA 16148 Phone: 724-347-6660 | |
Dr. Sara Rebeccah Hurl, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2250 Shenango Valley Fwy, Hermitage, PA 16148 Phone: 724-981-3200 | |
Specialty Orthopaedics Pc Pt Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3120 Highland Rd, Hermitage, PA 16148 Phone: 724-342-2663 |