| Russell Woodman, PT | |
|
544 Campbell Ave, West Haven, CT 06516-4401 | |
| (203) 937-6150 | |
| (203) 937-8517 |
| Full Name | Russell Woodman |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 60 Years |
| Location | 544 Campbell Ave, West Haven, Connecticut |
| 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 |
|---|---|---|---|
| 1417383175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 001241 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Physical Therapy | 0345275632 | 2 |
| Anb-ptsma Holdings Inc | 4789572926 | 155 |
| Provider Name | Physicians Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1366564106 PECOS PAC ID: 0345275632 Enrollment ID: O20051005000961 |
| Provider Name | Anb-ptsma Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1659453371 PECOS PAC ID: 4789572926 Enrollment ID: O20100928000128 |
| Provider Name | Ivyrehab Connecticut Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1265799365 PECOS PAC ID: 8325203649 Enrollment ID: O20120711000223 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Woodman, PT 3 Tamarac Swamp Rd, Wallingford, CT 06492-5529 Ph: () - | Russell Woodman, PT 544 Campbell Ave, West Haven, CT 06516-4401 Ph: (203) 937-6150 |
Mrs. Laura Marie Lux, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 544 Campbell Ave, West Haven, CT 06516 Phone: 203-937-6150 | |
Catherine T Quick, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave, West Haven, CT 06516 Phone: 203-932-5711 | |
Jaimie Douglass Barron, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave, West Haven, CT 06516 Phone: 203-932-5711 | |
Danielle Lisa Castellano, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 544 Campbell Ave, West Haven, CT 06516 Phone: 203-937-6150 Fax: 203-937-8517 | |
Dr. Matthew Thomas Walsh, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave, West Haven, CT 06516 Phone: 203-932-5711 | |
Carolyn A Sires, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 544 Campbell Ave, West Haven, CT 06516 Phone: 203-937-6150 Fax: 203-937-8517 | |
Ms. Laurie Ann Wingard, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave, Physical Medicine And Rehabilitation, West Haven, CT 06516 Phone: 203-932-5711 |