Samantha Godfrey, PT DPT | |
870 Gordon Nagle Trl Ste 100, Pottsville, PA 17901-4203 | |
(570) 399-5331 | |
(570) 399-5374 |
Full Name | Samantha Godfrey |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 870 Gordon Nagle Trl Ste 100, Pottsville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235784737 | NPI | - | NPPES |
1019541330001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT027851 (Pennsylvania) | Primary |
Provider Name | Black Mountain Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1457696361 PECOS PAC ID: 4385896349 Enrollment ID: O20121220000424 |
Mailing Address | Practice Location Address |
---|---|
Samantha Godfrey, PT DPT 430 Innovation Dr, Blairsville, PA 15717-8096 Ph: (724) 343-4060 | Samantha Godfrey, PT DPT 870 Gordon Nagle Trl Ste 100, Pottsville, PA 17901-4203 Ph: (570) 399-5331 |
Mandy Lynn Bixler, PT DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 48 Tunnel Rd, Pottsville, PA 17901 Phone: 570-622-0182 Fax: 570-622-3192 | |
Robert L Dusel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Schuylkill Medical Plz, Pottsville, PA 17901 Phone: 570-621-9500 Fax: 570-621-9510 | |
Kelly J Zerbe, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 Schuylkill Medical Plz, Pottsville, PA 17901 Phone: 570-621-9500 Fax: 570-621-9510 | |
Mr. Jason Emanuel Marks, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2040 W End Ave, Pottsville, PA 17901 Phone: 570-622-7291 | |
Mr. Dustin David Deibert, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Schuylkill Manor Rd, Pottsville, PA 17901 Phone: 570-622-9666 | |
Mrs. Marian Ocreto Humarang, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Schuylkill Manor Rd, Pottsville, PA 17901 Phone: 978-943-3576 | |
Robert Michael Murphy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 48 Tunnel Rd, Evergreen Professional Suites, Suite 202, Pottsville, PA 17901 Phone: 570-622-0182 Fax: 570-622-3192 |