| Revolution Running Physical Therapy,pllc | |
|
971 Main St, Holbrook, NY 11741-1609 | |
| (516) 376-9202 | |
| Not Available |
| Full Name | Revolution Running Physical Therapy,pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 971 Main St, Holbrook, 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 |
|---|---|---|---|
| 1982292900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Natalie Niemczyk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568823037 PECOS PAC ID: 2567757503 Enrollment ID: I20160830000379 |
| Mailing Address | Practice Location Address |
|---|---|
| Revolution Running Physical Therapy,pllc 971 Main St, Holbrook, NY 11741-1609 Ph: (516) 376-9202 | Revolution Running Physical Therapy,pllc 971 Main St, Holbrook, NY 11741-1609 Ph: (516) 376-9202 |
Mr. Roger Berkley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Peachtree Ct, Suite 105, Holbrook, NY 11741 Phone: 631-467-3700 | |
Teresita Corpus, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20 Peachtree Ct, Suite 105, Holbrook, NY 11741 Phone: 631-467-3700 Fax: 631-467-0928 | |
Francisco Albert Rojas Reyes, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 761 Coates Ave, Suite 40, Holbrook, NY 11741 Phone: 516-450-5308 | |
Mr. Stephen Michael Joseph, MA, PT, ATC, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 20 Peachtree Ct, Suite 105, Holbrook, NY 11741 Phone: 631-467-3700 Fax: 631-467-0928 | |
Kathryn Dibenedetto, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Peachtree Ct, Suite 105, Holbrook, NY 11741 Phone: 631-467-3700 Fax: 631-467-0928 | |
Mrs. Rita Guadno Alinso, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20 Peachtree Ct, #105, Holbrook, NY 11741 Phone: 631-467-3700 Fax: 631-467-0928 | |
Timothy J Cosgriff, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 20 Peachtree Ct, Ste 105, Holbrook, NY 11741 Phone: 631-467-3700 |