| Vijetha Mudireddi, | |
|
1550 Empire Blvd, Webster, NY 14580-2196 | |
| (585) 671-4300 | |
| Not Available |
| Full Name | Vijetha Mudireddi |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1550 Empire Blvd, Webster, 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 |
|---|---|---|---|
| 1881101152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 042366 (New York) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952531154 PECOS PAC ID: 6507832573 Enrollment ID: O20160330000839 |
| Mailing Address | Practice Location Address |
|---|---|
| Vijetha Mudireddi, 1550 Empire Blvd, Webster, NY 14580-2196 Ph: (585) 671-4300 | Vijetha Mudireddi, 1550 Empire Blvd, Webster, NY 14580-2196 Ph: (585) 671-4300 |
Kimberly A Kropidlowski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 860 Hard Rd, Webster, NY 14580 Phone: 585-347-1664 Fax: 585-347-1234 | |
Tricia L Moose, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2000 Empire Blvd Bldg 2, Webster, NY 14580 Phone: 585-671-1030 Fax: 585-671-1991 | |
Dr. Benjamin P. Rebholz, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1075 Ridge Rd, Webster, NY 14580 Phone: 585-671-3770 | |
Jennie Lynn Hansen, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2000 Empire Blvd, Bldg., #2, Webster, NY 14580 Phone: 585-671-1030 Fax: 585-671-1991 | |
Noah Mandel, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 70 Barrett Dr, Webster, NY 14580 Phone: 585-347-4990 Fax: 585-347-4993 | |
Marilyn Klim, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 W Main St, Lower Level East, Webster, NY 14580 Phone: 585-872-9669 Fax: 585-872-9449 | |
Katherine A Davidson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 847 Holt Rd, Webster, NY 14580 Phone: 585-300-4333 Fax: 585-484-8237 |