| Gregory R. Petrosky | |
|
1 South St, Ridgway, PA 15853-1817 | |
| (814) 772-7848 | |
| (814) 772-7849 |
| Full Name | Gregory R. Petrosky |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1 South St, Ridgway, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508970252 | NPI | - | NPPES |
| 15435100004 | Other | PA | MEDICAL ASSISTANCE |
| 279823 | Other | PA | HIGHMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT007531L (Pennsylvania) | Primary |
| Provider Name | Gregory R Petrosky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861506594 PECOS PAC ID: 3274604764 Enrollment ID: I20080611000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory R. Petrosky 1 South St, Ridgway, PA 15853-1817 Ph: (814) 772-7848 | Gregory R. Petrosky 1 South St, Ridgway, PA 15853-1817 Ph: (814) 772-7848 |
David Cicione, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 104 Metoxet St, Ridgway, PA 15853 Phone: 814-788-5534 Fax: 814-788-5549 | |
Mr. Gregory Regis Petrosky, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 South St, Ridgway, PA 15853 Phone: 814-772-7848 Fax: 814-772-7849 | |
Mr. Andrew John Dornisch, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 104 Metoxet St, Ridgway, PA 15853 Phone: 814-788-5534 Fax: 814-788-5549 |