| Mr Marcus Andrew Redline, MPT | |
|
42 Complex Dr, Wyalusing, PA 18853-7803 | |
| (570) 746-0504 | |
| (570) 746-0470 |
| Full Name | Mr Marcus Andrew Redline |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 17 Years |
| Location | 42 Complex Dr, Wyalusing, 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 |
|---|---|---|---|
| 1609006733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT020046 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Redline Rehab Llc | 5991282238 | 2 |
| Provider Name | Pivot Physical Therapy of Pennsylvania LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881132488 PECOS PAC ID: 4981971843 Enrollment ID: O20170515000834 |
| Provider Name | Redline Rehab LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1164318028 PECOS PAC ID: 5991282238 Enrollment ID: O20260518003636 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Marcus Andrew Redline, MPT 24569 Route 6, Suite C, Towanda, PA 18848-8254 Ph: (570) 265-1111 | Mr Marcus Andrew Redline, MPT 42 Complex Dr, Wyalusing, PA 18853-7803 Ph: (570) 746-0504 |
Dr. Allen Kohl Williams Iii, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 42 Complex Dr, Wyalusing, PA 18853 Phone: 570-746-0504 Fax: 570-746-0470 |
Holly Elizabeth Champluvier, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box 17 C, Wyalusing, PA 18853 Phone: 570-885-0739 |
Alexandrea Steele, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 42 Complex Dr, Wyalusing, PA 18853 Phone: 570-746-0504 |
Lucas Daniel Raymond, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 42 Complex Dr, Wyalusing, PA 18853 Phone: 570-746-0504 |
Olivia Noone, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 42 Complex Dr, Wyalusing, PA 18853 Phone: 570-746-0504 |
Melinda Godshall, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2901 Brewer Hollow Rd, Wyalusing, PA 18853 Phone: 570-746-1091 Fax: 570-746-5067 |
Brandon Kelley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 42 Complex Dr, Wyalusing, PA 18853 Phone: 570-746-0504 Fax: 570-746-0470 |