| Orthopedic & Sports Physical Therapy, Llc | |
|
5586 Legionnaire Dr, Suite 6, Cicero, NY 13039-3504 | |
| (315) 698-9353 | |
| (315) 698-4463 |
| Full Name | Orthopedic & Sports Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5586 Legionnaire Dr, Cicero, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073678447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 012257-1 (New York) | Primary |
| Provider Name | Cole D Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457391054 PECOS PAC ID: 7810150489 Enrollment ID: I20120517000330 |
| Mailing Address | Practice Location Address |
|---|---|
| Orthopedic & Sports Physical Therapy, Llc 5586 Legionnaire Dr, Suite 6, Cicero, NY 13039-3504 Ph: (315) 698-9353 | Orthopedic & Sports Physical Therapy, Llc 5586 Legionnaire Dr, Suite 6, Cicero, NY 13039-3504 Ph: (315) 698-9353 |
Mr. Gary Patrick Morgan, BS, MPS, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5740 S Bay Rd, Cicero, NY 13039 Phone: 315-458-5442 Fax: 315-458-5490 | |
Mrs. Cindy Louise Mccreary, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8629 Lydia Ln, Cicero, NY 13039 Phone: 315-699-3559 | |
Mrs. Lori Hobday, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6221 Rte 31, Ste 103, Cicero, NY 13039 Phone: 315-699-1009 Fax: 315-699-1094 | |
Corey Dunlap, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5460 Meltzer Ct, Cicero, NY 13039 Phone: 315-699-1619 | |
Mr. Moshe Marko, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6221 Rte 31, Ste 103, Cicero, NY 13039 Phone: 315-699-1009 Fax: 315-699-1094 | |
Jessica L Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6221 State Route 31, Suite 103, Cicero, NY 13039 Phone: 315-699-1009 Fax: 315-699-1094 |