| Tudor Physical Therapy Centers | |
|
1397 S Canfield Niles Rd Unit 2, Austintown, OH 44515-4084 | |
| (330) 270-5410 | |
| (330) 270-5973 |
| Full Name | Tudor Physical Therapy Centers |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1397 S Canfield Niles Rd Unit 2, Austintown, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295783389 | NPI | - | NPPES |
| 000000168295 | Other | OH | ANTHEM |
| 000000316648 | Other | OH | ANTHEM |
| 000000316650 | Other | OH | ANTHEM |
| 2536625 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (NU) | Primary |
| 225X00000X | Occupational Therapist | (NU) | Secondary |
| 235Z00000X | Speech-language Pathologist | (NU) | Secondary |
| Provider Name | Mark A Brammer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265400444 PECOS PAC ID: 4284625872 Enrollment ID: I20040521000724 |
| Provider Name | Lesley Anne Bucey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942539515 PECOS PAC ID: 0648237024 Enrollment ID: I20041216001088 |
| Provider Name | Lisa M Koniowsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679553200 PECOS PAC ID: 4587621974 Enrollment ID: I20041216001144 |
| Provider Name | Kelly D Kovacic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215918909 PECOS PAC ID: 5890741557 Enrollment ID: I20050324001149 |
| Provider Name | Michael John Chaffee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063462505 PECOS PAC ID: 3274551221 Enrollment ID: I20051108000485 |
| Provider Name | Kristy L Ebinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679554810 PECOS PAC ID: 8729007075 Enrollment ID: I20051115001171 |
| Provider Name | Vincent A Marino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093791691 PECOS PAC ID: 1850314857 Enrollment ID: I20060105000111 |
| Provider Name | Michael A Rinaldi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245240589 PECOS PAC ID: 4880796739 Enrollment ID: I20070222000664 |
| Provider Name | Diane S Ferguson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598911927 PECOS PAC ID: 6608944848 Enrollment ID: I20081125000698 |
| Provider Name | Pamela S Dietelbach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891945960 PECOS PAC ID: 6103980420 Enrollment ID: I20090202000427 |
| Provider Name | Kimberly Kivlighan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043434251 PECOS PAC ID: 4082751953 Enrollment ID: I20091026000356 |
| Provider Name | Vincent Ragozine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205156718 PECOS PAC ID: 8921131350 Enrollment ID: I20100805000091 |
| Provider Name | Patricia Godsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932408416 PECOS PAC ID: 7315121415 Enrollment ID: I20110414000481 |
| Provider Name | Bret M Lorenzo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598025199 PECOS PAC ID: 0840454880 Enrollment ID: I20120604000258 |
| Provider Name | Allison Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134431521 PECOS PAC ID: 9234352048 Enrollment ID: I20140523001558 |
| Provider Name | David M Heck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386011484 PECOS PAC ID: 3173831831 Enrollment ID: I20150929001737 |
| Provider Name | Lindsey Barnhart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902115678 PECOS PAC ID: 6608168430 Enrollment ID: I20160714000901 |
| Provider Name | Caitlin Newell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851722003 PECOS PAC ID: 3476841834 Enrollment ID: I20161018001297 |
| Provider Name | Evan Wray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730637950 PECOS PAC ID: 7315224003 Enrollment ID: I20170505001983 |
| Provider Name | Sarah Lynn Stern |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871009688 PECOS PAC ID: 5496014045 Enrollment ID: I20180105001135 |
| Provider Name | Jenna Leeann York |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306259593 PECOS PAC ID: 9931458619 Enrollment ID: I20180814003826 |
| Provider Name | Keeley Chaffee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578070694 PECOS PAC ID: 7719398411 Enrollment ID: I20201202001003 |
| Provider Name | Courtney Bradac |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710651179 PECOS PAC ID: 1052717972 Enrollment ID: I20210901001058 |
| Provider Name | Odessa Morales |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457860322 PECOS PAC ID: 1153719067 Enrollment ID: I20211026002995 |
| Provider Name | Valerie Domitrovich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619147147 PECOS PAC ID: 2062889538 Enrollment ID: I20221114001350 |
| Provider Name | Zachary D Bartolotta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770061517 PECOS PAC ID: 6709232614 Enrollment ID: I20231030002013 |
| Provider Name | Daniel Yanek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366780256 PECOS PAC ID: 0042743288 Enrollment ID: I20241028000807 |
| Provider Name | Amy Shepard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437566908 PECOS PAC ID: 0941522056 Enrollment ID: I20250106003171 |
| Mailing Address | Practice Location Address |
|---|---|
| Tudor Physical Therapy Centers Po Box 392573, Pittsburgh, PA 15251-9573 Ph: (724) 343-4060 | Tudor Physical Therapy Centers 1397 S Canfield Niles Rd Unit 2, Austintown, OH 44515-4084 Ph: (330) 270-5410 |
Rehabilitation Network Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3666 Mahoning Ave, Austintown, OH 44515 Phone: 330-270-7041 Fax: 330-793-3103 |
Rebecca M Greathouse, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6006 Mahoning Ave, Suite G, Austintown, OH 44515 Phone: 330-755-3000 Fax: 330-755-3300 |
Mrs. Diana Lynn Cunningham, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5533 Mahoning Ave Fl 2, Austintown, OH 44515 Phone: 330-799-0094 Fax: 330-799-8303 |
Jennifer L Skibo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1397 S Canfield Niles Rd, Unit 1, Austintown, OH 44515 Phone: 330-953-0129 Fax: 330-953-0650 |
Chelsea Marie Conzett, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6006 Mahoning Ave, Suite G, Austintown, OH 44515 Phone: 330-755-3000 Fax: 330-599-7008 |
Ms. Danielle Marie Conrad, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6006 Mahoning Ave Ste G, Austintown, OH 44515 Phone: 330-755-3000 Fax: 234-226-4201 |
Jeremy Baker, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6006 Mahoning Ave, Suite 201, Austintown, OH 44515 Phone: 330-755-3000 |