| Theodore Boyle, DPT | |
|
124 Us Route 11, Central Square, NY 13036-9760 | |
| (315) 668-0123 | |
| Not Available |
| Full Name | Theodore Boyle |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 124 Us Route 11, Central Square, 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 |
|---|---|---|---|
| 1558024588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 047833 (New York) | Primary |
| Provider Name | Rebound Sports And Orthopedic Physical Therapy, P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952467177 PECOS PAC ID: 1658325493 Enrollment ID: O20050304000344 |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Boyle, DPT 4906 Fayetteville Manlius Rd, Manlius, NY 13104-1028 Ph: (315) 706-2894 | Theodore Boyle, DPT 124 Us Route 11, Central Square, NY 13036-9760 Ph: (315) 668-0123 |
Mrs. Elizabeth Ellen Lannier, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 124 Us Route 11, Kuss Physical Therapy, Central Square, NY 13036 Phone: 315-668-0123 | |
David Alan Povlock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 537 S Main St, Central Square, NY 13036 Phone: 315-668-7141 Fax: 315-668-9855 | |
Allison Amy Bronner, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 124 U.s. Route 11, Central Square, NY 13036 Phone: 315-668-0123 | |
Kuss Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 124 Us Route 11, Central Square, NY 13036 Phone: 315-668-0123 Fax: 315-668-0124 | |
John Kenneth Kuss, PT, DPT, MTC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 124 Us Route 11, Central Square, NY 13036 Phone: 315-668-0123 Fax: 315-668-0124 | |
Heidi Lynne Hathaway, MS, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 124 Us Route 11, Central Square, NY 13036 Phone: 315-668-0123 Fax: 315-668-0124 | |
Mrs. Jennifer Homer Eckardt, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Us Route 11, Central Square, NY 13036 Phone: 315-668-0123 Fax: 315-668-0124 |