| Susan L Pender, MPT | |
|
1288 S Governors Ave, Dover, DE 19904-4802 | |
| (302) 677-0100 | |
| (302) 677-0267 |
| Full Name | Susan L Pender |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Orthopedic |
| Location | 1288 S Governors Ave, Dover, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881789246 | NPI | - | NPPES |
| G00716 | Other | DE | PHYSIOTHERAPY ASSOCIATES MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Maryland) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | J1-0001738 (Delaware) | Primary |
| Provider Name | Dynamic Therapy Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205875093 PECOS PAC ID: 0749283083 Enrollment ID: O20060831000322 |
| Provider Name | Premier Physical Therapy And Sports Performance Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1417320151 PECOS PAC ID: 2668774167 Enrollment ID: O20151230000159 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan L Pender, MPT 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: () - | Susan L Pender, MPT 1288 S Governors Ave, Dover, DE 19904-4802 Ph: (302) 677-0100 |
Adrianne Greene, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1288 S Governors Ave, Dover, DE 19904 Phone: 302-677-0100 Fax: 302-677-0267 | |
Ms. Amy Kathryn Tullis, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 97 Commerce Way, Suite 101, Dover, DE 19904 Phone: 302-734-8000 | |
Jihwan Jeong, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1288 S Governors Ave, Dover, DE 19904 Phone: 302-677-0100 | |
William Boylan Iv, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1288 S Governors Ave, Dover, DE 19904 Phone: 302-677-0100 Fax: 302-677-0267 | |
Kathy Tompkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 Forest St, Dover, DE 19904 Phone: 302-672-1500 | |
Christine Marie Reynolds, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 Walker Rd, Dover, DE 19904 Phone: 302-735-8800 | |
Katherine Marie Monahan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1288 S Governors Ave, Dover, DE 19904 Phone: 302-677-0100 |