| Shasta Health Physical Therapy Ny Pc | |
|
169 Madison Ave Ste 11071, New York, NY 10016-5101 | |
| (833) 270-9820 | |
| Not Available |
| Full Name | Shasta Health Physical Therapy Ny Pc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 169 Madison Ave Ste 11071, New York, 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 |
|---|---|---|---|
| 1932933264 | NPI | - | NPPES |
| Provider Name | Peter Benjamin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760996334 PECOS PAC ID: 9335406248 Enrollment ID: I20171201000869 |
| Provider Name | Eleanor Innocent |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003144155 PECOS PAC ID: 0547524076 Enrollment ID: I20180508002330 |
| Provider Name | Victor Rhee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235607003 PECOS PAC ID: 4385998723 Enrollment ID: I20181121000508 |
| Provider Name | James R Sinodinos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437703881 PECOS PAC ID: 5890021521 Enrollment ID: I20190801002024 |
| Provider Name | Wen Hao Wang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144870700 PECOS PAC ID: 5991035321 Enrollment ID: I20190926002282 |
| Provider Name | Baron Shieh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811539638 PECOS PAC ID: 5698006955 Enrollment ID: I20191017001577 |
| Provider Name | Tessia Correa De Mattos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023627460 PECOS PAC ID: 2365867256 Enrollment ID: I20200810001999 |
| Provider Name | Nicouhl Jay Tolentino Rivera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639755895 PECOS PAC ID: 3971986019 Enrollment ID: I20220823000090 |
| Provider Name | Jerome T Rivera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023670361 PECOS PAC ID: 3577946524 Enrollment ID: I20220824000573 |
| Provider Name | Yu-ting Huang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841908472 PECOS PAC ID: 2062885874 Enrollment ID: I20230227000442 |
| Provider Name | Ana Samantha Santos Antonio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023724770 PECOS PAC ID: 2365815800 Enrollment ID: I20230302001844 |
| Provider Name | Michelle Zeltsman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285459404 PECOS PAC ID: 8729515465 Enrollment ID: I20241219002380 |
| Provider Name | Derrek Yang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982436580 PECOS PAC ID: 6002338555 Enrollment ID: I20250313003411 |
| Mailing Address | Practice Location Address |
|---|---|
| Shasta Health Physical Therapy Ny Pc 169 Madison Ave Ste 11071, New York, NY 10016-5101 Ph: () - | Shasta Health Physical Therapy Ny Pc 169 Madison Ave Ste 11071, New York, NY 10016-5101 Ph: (833) 270-9820 |