| Shannon Marie Kasperek, DPT | |
|
10714 North Rd, Perrysburg, NY 14129-9746 | |
| (716) 532-1049 | |
| Not Available |
| Full Name | Shannon Marie Kasperek |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 10714 North Rd, Perrysburg, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437409091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 033931-1 (New York) | Primary |
| Provider Name | State Of New York Comptrollers Office |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Marie Kasperek, DPT 10714 North Rd, Perrysburg, NY 14129-9746 Ph: (716) 532-1049 | Shannon Marie Kasperek, DPT 10714 North Rd, Perrysburg, NY 14129-9746 Ph: (716) 532-1049 |
Mrs. Helen Taylor Pine, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10714 North Rd, Perrysburg, NY 14129 Phone: 716-532-1049 Fax: 716-532-0679 | |
Mrs. Amy Lynn Carroll, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10714 North Rd, Perrysburg, NY 14129 Phone: 716-287-3734 Fax: 716-287-3740 | |
Jeffrey Michael Ventre, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10714 North Rd, Perrysburg, NY 14129 Phone: 716-532-1049 Fax: 716-532-0679 |