| Rothman Orthopaedics Of New Jersey, Llc | |
|
999 Route 73 N Fl 34 Marlton NJ 08053-1227 | |
| (800) 321-9999 | |
| (267) 479-1321 |
| Full Name | Rothman Orthopaedics Of New Jersey, Llc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 999 Route 73 N Fl 34, Marlton, New Jersey |
| Authorized Official Name and Position | Chelsey Conway (VP FINANCE) |
| Authorized Official Contact | 2678454119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rothman Orthopaedics Of New Jersey, Llc 833 Chestnut St Ste 520 Philadelphia PA 19107-4430 Ph: (609) 677-7003 | Rothman Orthopaedics Of New Jersey, Llc 999 Route 73 N Fl 34 Marlton NJ 08053-1227 Ph: (800) 321-9999 |
| NPI Number | 1215978630 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 01/17/2023 |
| Medicare PECOS PAC ID | 6709864846 |
|---|---|
| Medicare Enrollment ID | O20040713001385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215978630 | NPI | - | NPPES |
| 0088890000 | Other | NJ | IBC |
| Provider Name | Daren J Aita |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154327146 PECOS PAC ID: 8123922085 Enrollment ID: I20031121000587 |
| Provider Name | Michael R Duch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962408856 PECOS PAC ID: 2264336130 Enrollment ID: I20031121000615 |
| Provider Name | Michael Q Cerullo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255359444 PECOS PAC ID: 1254235674 Enrollment ID: I20040308000342 |
| Provider Name | Patricia A Castle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023022274 PECOS PAC ID: 4082518402 Enrollment ID: I20040308000433 |
| Provider Name | Bruce D Stamos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669453650 PECOS PAC ID: 8022002831 Enrollment ID: I20040414000150 |
| Provider Name | Nicholas Cipparone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699963462 PECOS PAC ID: 4284625625 Enrollment ID: I20040524000310 |
| Provider Name | Ralph R Franks |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1386739449 PECOS PAC ID: 5294716742 Enrollment ID: I20040528001060 |
| Provider Name | Francis G Alberta |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821065863 PECOS PAC ID: 2769467455 Enrollment ID: I20040618000323 |
| Provider Name | David J Rodricks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275579138 PECOS PAC ID: 4789661000 Enrollment ID: I20040706000420 |
| Provider Name | Matthew S Austin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518914886 PECOS PAC ID: 5799763272 Enrollment ID: I20040712000118 |
| Provider Name | Michael Falcone |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689787129 PECOS PAC ID: 7113998147 Enrollment ID: I20040804000024 |
| Provider Name | Thomas J Kaynak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124127212 PECOS PAC ID: 6709858467 Enrollment ID: I20040812000157 |
| Provider Name | Harlan B Levine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922001361 PECOS PAC ID: 5890773303 Enrollment ID: I20040827000112 |
| Provider Name | Joseph R Basante |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154540037 PECOS PAC ID: 9234107269 Enrollment ID: I20040917000999 |
| Provider Name | Raymond E Esquieres |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932180924 PECOS PAC ID: 1153381637 Enrollment ID: I20041019000415 |
| Provider Name | Peter Askes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457328585 PECOS PAC ID: 6901861426 Enrollment ID: I20041124000172 |
| Provider Name | Alan S Hilibrand |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609820315 PECOS PAC ID: 4789642497 Enrollment ID: I20041228000808 |
| Provider Name | Michael F Harrer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194829762 PECOS PAC ID: 0648241307 Enrollment ID: I20041229000053 |
| Provider Name | Alexander Formolow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326115635 PECOS PAC ID: 0042269227 Enrollment ID: I20050114000019 |
| Provider Name | David Greg Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497792725 PECOS PAC ID: 7719964303 Enrollment ID: I20050202000897 |
| Provider Name | Craig Allen Rubenstein |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1962441279 PECOS PAC ID: 5496743437 Enrollment ID: I20050419000098 |
| Provider Name | Gary Shiffman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629011317 PECOS PAC ID: 1850335423 Enrollment ID: I20050614001263 |
| Provider Name | Brian M Katt |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1386625382 PECOS PAC ID: 0143265876 Enrollment ID: I20050623000226 |
| Provider Name | John P Salvo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073695458 PECOS PAC ID: 5890730535 Enrollment ID: I20050623000305 |
| Provider Name | Charles L Getz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063440527 PECOS PAC ID: 5890731632 Enrollment ID: I20050706000885 |
| Provider Name | Peter F Deluca |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013954262 PECOS PAC ID: 1759320849 Enrollment ID: I20050708000046 |
| Provider Name | Laura A Malfitano |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1922094242 PECOS PAC ID: 3274569173 Enrollment ID: I20050712000988 |
| Provider Name | Claudine Marie Clement |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720047871 PECOS PAC ID: 3971539347 Enrollment ID: I20050718000226 |
| Provider Name | Brian Behlau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164467098 PECOS PAC ID: 9436186640 Enrollment ID: I20050805000386 |
| Provider Name | Sean T Deacon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437219649 PECOS PAC ID: 9931132008 Enrollment ID: I20050928000079 |
| Provider Name | Gregg R Klein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528053642 PECOS PAC ID: 7618948670 Enrollment ID: I20051004000725 |
| Provider Name | Beth Staines |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326120015 PECOS PAC ID: 2365475423 Enrollment ID: I20051012000015 |
| Provider Name | Paul E Sullivan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417953647 PECOS PAC ID: 1456374396 Enrollment ID: I20060106000321 |
| Provider Name | Fotios P Tjoumakaris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720035926 PECOS PAC ID: 1355354184 Enrollment ID: I20060724000075 |
| Provider Name | Daniel J Fletcher |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1558339564 PECOS PAC ID: 5395799480 Enrollment ID: I20061109000436 |
| Provider Name | Michael J Mehnert |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306927967 PECOS PAC ID: 8123027299 Enrollment ID: I20061219000229 |
| Provider Name | Chad I Reiser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568541332 PECOS PAC ID: 1850392804 Enrollment ID: I20070118000302 |
| Provider Name | Mitchell Kirk Freedman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386681948 PECOS PAC ID: 9436251865 Enrollment ID: I20070302000380 |
| Provider Name | Madhuri A Dholakia |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386665636 PECOS PAC ID: 0547263014 Enrollment ID: I20070315000356 |
| Provider Name | Lauren Farrell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497824692 PECOS PAC ID: 5698879872 Enrollment ID: I20070328000028 |
| Provider Name | Carla M Difelice |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619906849 PECOS PAC ID: 4587768270 Enrollment ID: I20070406000333 |
| Provider Name | Bradford S Tucker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598871162 PECOS PAC ID: 3678678216 Enrollment ID: I20070410000512 |
| Provider Name | Joseph Albert Abboud |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588608731 PECOS PAC ID: 8820012693 Enrollment ID: I20070412000425 |
| Provider Name | Daniel Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487743613 PECOS PAC ID: 1658476643 Enrollment ID: I20070419000600 |
| Provider Name | Matthew Lee Ramsey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376571877 PECOS PAC ID: 4688779119 Enrollment ID: I20070522000663 |
| Provider Name | Christopher E Selgrath |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801990361 PECOS PAC ID: 2264423599 Enrollment ID: I20070525000240 |
| Provider Name | Noelle H Iordache |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073648390 PECOS PAC ID: 4587763768 Enrollment ID: I20070629000005 |
| Provider Name | Gregory J Hering |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053366997 PECOS PAC ID: 1254432636 Enrollment ID: I20070730000469 |
| Provider Name | Diane E Walsh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740242551 PECOS PAC ID: 1850483959 Enrollment ID: I20070822000031 |
| Provider Name | Mark Nathanson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952441586 PECOS PAC ID: 2567550296 Enrollment ID: I20071114000220 |
| Provider Name | Tiffany L Volpe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437374410 PECOS PAC ID: 5597854810 Enrollment ID: I20071210000003 |
| Provider Name | Joseph N Daniel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801864392 PECOS PAC ID: 2365523222 Enrollment ID: I20080116000642 |
| Provider Name | Wei Xu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861690570 PECOS PAC ID: 1355425364 Enrollment ID: I20080229000364 |
| Provider Name | Jeff Grinkovitch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447348990 PECOS PAC ID: 8628143674 Enrollment ID: I20080826000590 |
| Provider Name | Anupam N Sinha |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982865200 PECOS PAC ID: 2264509611 Enrollment ID: I20081027000657 |
| Provider Name | Anthony D Moscaritola |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467619270 PECOS PAC ID: 5395810832 Enrollment ID: I20090115000433 |
| Provider Name | Alka Sishodia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770773095 PECOS PAC ID: 4082632609 Enrollment ID: I20090311000468 |
| Provider Name | Pedro K Beredjiklian |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1114955689 PECOS PAC ID: 3476597246 Enrollment ID: I20090326000510 |
| Provider Name | William E Stubbs |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962441337 PECOS PAC ID: 4284787565 Enrollment ID: I20090804000434 |
| Provider Name | James R Polowczyk |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932371416 PECOS PAC ID: 6901951268 Enrollment ID: I20090910000180 |
| Provider Name | Jason A Nitche |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700050978 PECOS PAC ID: 8325185432 Enrollment ID: I20091022000228 |
| Provider Name | Gregory S Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801995998 PECOS PAC ID: 4789722612 Enrollment ID: I20091112000404 |
| Provider Name | William Gomez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649248634 PECOS PAC ID: 6204880396 Enrollment ID: I20091231000397 |
| Provider Name | Andre J Pagliaro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902874993 PECOS PAC ID: 4385698471 Enrollment ID: I20100104000210 |
| Provider Name | Jess H Lonner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568499309 PECOS PAC ID: 8426097296 Enrollment ID: I20100120000153 |
| Provider Name | Joshua S Hornstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366405813 PECOS PAC ID: 7113971201 Enrollment ID: I20100208000213 |
| Provider Name | John R Schnell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316902513 PECOS PAC ID: 6103870290 Enrollment ID: I20100208000279 |
| Provider Name | Marc J Levine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558339572 PECOS PAC ID: 9931153020 Enrollment ID: I20100208000325 |
| Provider Name | David G Nazarian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013944859 PECOS PAC ID: 0244252849 Enrollment ID: I20100212000679 |
| Provider Name | Mark D Lazarus |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497793657 PECOS PAC ID: 9133203144 Enrollment ID: I20100311000461 |
| Provider Name | Homyar N. Karanjia |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871547471 PECOS PAC ID: 1355486705 Enrollment ID: I20100311000669 |
| Provider Name | Matthew D Pepe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083653398 PECOS PAC ID: 1951485960 Enrollment ID: I20100311000738 |
| Provider Name | Alvin Ong |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992759138 PECOS PAC ID: 4284649773 Enrollment ID: I20100311000761 |
| Provider Name | Theodore D Conliffe |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285688747 PECOS PAC ID: 0446395834 Enrollment ID: I20100311000781 |
| Provider Name | James J Purtill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558300731 PECOS PAC ID: 8022192038 Enrollment ID: I20100312000023 |
| Provider Name | William James Hozack |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497709075 PECOS PAC ID: 5193701993 Enrollment ID: I20100315000868 |
| Provider Name | Danielle B Post |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346571072 PECOS PAC ID: 8426184714 Enrollment ID: I20100325000600 |
| Provider Name | Barry E Kenneally |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1629147558 PECOS PAC ID: 0244366896 Enrollment ID: I20100407000694 |
| Provider Name | Kristen E Radcliff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003071010 PECOS PAC ID: 3779634779 Enrollment ID: I20100804000450 |
| Provider Name | Luke S. Austin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629195532 PECOS PAC ID: 0345374815 Enrollment ID: I20100819000329 |
| Provider Name | Catherine L Kelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952627754 PECOS PAC ID: 9830383397 Enrollment ID: I20101029000164 |
| Provider Name | Joseph G Marsicano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881675783 PECOS PAC ID: 7911971379 Enrollment ID: I20101029000396 |
| Provider Name | William A Law |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194706192 PECOS PAC ID: 5193799559 Enrollment ID: I20101029000657 |
| Provider Name | Joseph P Bogdan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730161084 PECOS PAC ID: 9830163294 Enrollment ID: I20101029000738 |
| Provider Name | George W Young |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1568667392 PECOS PAC ID: 7618161019 Enrollment ID: I20101029000842 |
| Provider Name | Mitesh K Patel |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1093987034 PECOS PAC ID: 8123213097 Enrollment ID: I20101117000928 |
| Provider Name | Tricia M Beatty |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1841275203 PECOS PAC ID: 9537354410 Enrollment ID: I20101117001139 |
| Provider Name | Jonas L Matzon |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1750441317 PECOS PAC ID: 6204022163 Enrollment ID: I20101118000521 |
| Provider Name | Ari Seidenstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902040546 PECOS PAC ID: 7719176817 Enrollment ID: I20110105000326 |
| Provider Name | Dennis M Solomon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780643577 PECOS PAC ID: 2062692858 Enrollment ID: I20110211000018 |
| Provider Name | Alison Mazzatelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699737999 PECOS PAC ID: 1052591542 Enrollment ID: I20110216000330 |
| Provider Name | Joan M Jones |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619916798 PECOS PAC ID: 5698956894 Enrollment ID: I20110222000192 |
| Provider Name | William J Harrer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952364291 PECOS PAC ID: 6800077033 Enrollment ID: I20110222000526 |
| Provider Name | Michael J Staino |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033188891 PECOS PAC ID: 2668653635 Enrollment ID: I20110223001075 |
| Provider Name | Sarah C Donley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689867608 PECOS PAC ID: 2365623295 Enrollment ID: I20110224000531 |
| Provider Name | Megan M Gallagher |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376582403 PECOS PAC ID: 5092996918 Enrollment ID: I20110225000514 |
| Provider Name | Hannah C Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023247434 PECOS PAC ID: 9638209810 Enrollment ID: I20110303000187 |
| Provider Name | Richard D Douglas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659336824 PECOS PAC ID: 4385700350 Enrollment ID: I20110311000216 |
| Provider Name | Athena Niemczak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497734511 PECOS PAC ID: 2466635701 Enrollment ID: I20110324000575 |
| Provider Name | Gina Guharoy Raval |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811059793 PECOS PAC ID: 1951483361 Enrollment ID: I20110329000661 |
| Provider Name | Edward J Kinsella |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649435702 PECOS PAC ID: 7618042847 Enrollment ID: I20110406000388 |
| Provider Name | Robert D Mlkvy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467404939 PECOS PAC ID: 8527242775 Enrollment ID: I20110412000809 |
| Provider Name | Susanne Gjini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942422282 PECOS PAC ID: 7810173184 Enrollment ID: I20110520000673 |
| Provider Name | Nina L Weis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366651408 PECOS PAC ID: 9032396098 Enrollment ID: I20110601000072 |
| Provider Name | John A Abraham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871578351 PECOS PAC ID: 3375540537 Enrollment ID: I20110617000430 |
| Provider Name | Faith Ann Schick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619276862 PECOS PAC ID: 1557549417 Enrollment ID: I20110623000175 |
| Provider Name | Zachary D Post |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962443606 PECOS PAC ID: 8921184789 Enrollment ID: I20110705000391 |
| Provider Name | Thomas G Sargent |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1073717468 PECOS PAC ID: 4587832191 Enrollment ID: I20110727000076 |
| Provider Name | Charles Leinberry |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1073563078 PECOS PAC ID: 3476449349 Enrollment ID: I20110824000141 |
| Provider Name | Owen Lennon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518150606 PECOS PAC ID: 2668560426 Enrollment ID: I20110926000021 |
| Provider Name | Gregory K Deirmengian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730249517 PECOS PAC ID: 6507052438 Enrollment ID: I20111011000177 |
| Provider Name | Allan Roth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649266081 PECOS PAC ID: 3173420577 Enrollment ID: I20111107000072 |
| Provider Name | Joseph W Discienza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588811210 PECOS PAC ID: 2365617834 Enrollment ID: I20111212000453 |
| Provider Name | Natacha S Falcon |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831255843 PECOS PAC ID: 3476646977 Enrollment ID: I20120208000645 |
| Provider Name | Michael W Molter |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912967522 PECOS PAC ID: 8426112178 Enrollment ID: I20120417000425 |
| Provider Name | Inessa Soden |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154610608 PECOS PAC ID: 1759543127 Enrollment ID: I20120501000323 |
| Provider Name | Christopher K Kepler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114184389 PECOS PAC ID: 7113197724 Enrollment ID: I20120809000174 |
| Provider Name | Amy Schneider Lyall |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669635116 PECOS PAC ID: 1355597873 Enrollment ID: I20120815000470 |
| Provider Name | Arjun Saxena |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003934530 PECOS PAC ID: 6800065129 Enrollment ID: I20120821000042 |
| Provider Name | Gregory A Mueller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528100153 PECOS PAC ID: 2769555879 Enrollment ID: I20120822000025 |
| Provider Name | Elizabeth M Sanatar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780985788 PECOS PAC ID: 0840447801 Enrollment ID: I20120827000193 |
| Provider Name | Nicholas Robert Taweel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750336731 PECOS PAC ID: 2163465410 Enrollment ID: I20121011000164 |
| Provider Name | Christopher John Schoell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871541995 PECOS PAC ID: 4789835315 Enrollment ID: I20121108000178 |
| Provider Name | Mark L Wang |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1043467384 PECOS PAC ID: 4284806209 Enrollment ID: I20121109000502 |
| Provider Name | Gerald Ross Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972531424 PECOS PAC ID: 5395841845 Enrollment ID: I20121109000526 |
| Provider Name | Jeremy I Simon |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073538971 PECOS PAC ID: 1355356486 Enrollment ID: I20121116000366 |
| Provider Name | Steven Brad Cohen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568485803 PECOS PAC ID: 0840296992 Enrollment ID: I20121116000432 |
| Provider Name | Steven A Elias |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114993722 PECOS PAC ID: 8123279288 Enrollment ID: I20121119000500 |
| Provider Name | Michael Vile |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184688525 PECOS PAC ID: 0042367781 Enrollment ID: I20121210000089 |
| Provider Name | Carla D Bonfitto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871808741 PECOS PAC ID: 5991957946 Enrollment ID: I20121220000336 |
| Provider Name | Krysta Hopkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396081691 PECOS PAC ID: 6800049263 Enrollment ID: I20130115000079 |
| Provider Name | Brittany A Gray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396003554 PECOS PAC ID: 1153576996 Enrollment ID: I20130301000021 |
| Provider Name | Ari C Greis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831209105 PECOS PAC ID: 9931271343 Enrollment ID: I20130313000356 |
| Provider Name | Sunny Gupta |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1306097332 PECOS PAC ID: 8921142639 Enrollment ID: I20130313000367 |
| Provider Name | Saloni Sharma |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659493914 PECOS PAC ID: 4981759354 Enrollment ID: I20130313000453 |
| Provider Name | Jeffrey M Swerdlow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306813837 PECOS PAC ID: 7810134608 Enrollment ID: I20130515000467 |
| Provider Name | William B Hoffman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184980419 PECOS PAC ID: 9032359732 Enrollment ID: I20130701000082 |
| Provider Name | Jonathan Mickulik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821340399 PECOS PAC ID: 6002056926 Enrollment ID: I20130717000072 |
| Provider Name | Michael P Weis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770592305 PECOS PAC ID: 3173422318 Enrollment ID: I20130805000775 |
| Provider Name | Joseph Kim Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124289780 PECOS PAC ID: 4880837913 Enrollment ID: I20130821000460 |
| Provider Name | Scot A Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639338890 PECOS PAC ID: 6406099480 Enrollment ID: I20130823000540 |
| Provider Name | Brian S Winters |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740456318 PECOS PAC ID: 0042453888 Enrollment ID: I20130827000641 |
| Provider Name | Samantha L Kanarek |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912174012 PECOS PAC ID: 1759544984 Enrollment ID: I20130910000100 |
| Provider Name | Stephen Andrew Stache |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1750524757 PECOS PAC ID: 4587805395 Enrollment ID: I20130916000306 |
| Provider Name | Emilia Pollnow |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578909198 PECOS PAC ID: 7517107485 Enrollment ID: I20130920000549 |
| Provider Name | Rebecca Lynn Mckenna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831525377 PECOS PAC ID: 9335374750 Enrollment ID: I20131021000294 |
| Provider Name | Allison J Cohen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235564576 PECOS PAC ID: 6204062631 Enrollment ID: I20131113001266 |
| Provider Name | Laura Anne Woodward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407150576 PECOS PAC ID: 4587848429 Enrollment ID: I20131119001151 |
| Provider Name | Scott Sattan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316912611 PECOS PAC ID: 9133276876 Enrollment ID: I20131127001218 |
| Provider Name | James Christopher Krieg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659480317 PECOS PAC ID: 4385640788 Enrollment ID: I20131227000156 |
| Provider Name | Javad Parvizi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184679136 PECOS PAC ID: 3476637489 Enrollment ID: I20131227000266 |
| Provider Name | Patricia A Puckhaber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881817518 PECOS PAC ID: 4587893185 Enrollment ID: I20140130001595 |
| Provider Name | Purvang Kapadia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760776637 PECOS PAC ID: 5890926216 Enrollment ID: I20140328000995 |
| Provider Name | Colleen H Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629282603 PECOS PAC ID: 6901971357 Enrollment ID: I20140508000582 |
| Provider Name | John D Koerner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427219914 PECOS PAC ID: 4688897689 Enrollment ID: I20140520001832 |
| Provider Name | Lisa M Sowell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528492253 PECOS PAC ID: 1658594460 Enrollment ID: I20140523001685 |
| Provider Name | Michael B Luna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528381993 PECOS PAC ID: 4082831250 Enrollment ID: I20140812000849 |
| Provider Name | Barrett I Woods |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073774386 PECOS PAC ID: 9931348299 Enrollment ID: I20140812000982 |
| Provider Name | Yan Gu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255569596 PECOS PAC ID: 2668690223 Enrollment ID: I20140825000893 |
| Provider Name | Irfan S Chhipa |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1982962833 PECOS PAC ID: 2860610011 Enrollment ID: I20140829000617 |
| Provider Name | Michael D Mueller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518157239 PECOS PAC ID: 8123198637 Enrollment ID: I20140912001691 |
| Provider Name | Nicholas Licameli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386043677 PECOS PAC ID: 8224258736 Enrollment ID: I20141006000867 |
| Provider Name | Michael Rivlin |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1245403013 PECOS PAC ID: 0749423226 Enrollment ID: I20141014001750 |
| Provider Name | Michael Nakashian |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1629239645 PECOS PAC ID: 4688895493 Enrollment ID: I20141021000315 |
| Provider Name | Marissa J Lynn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205238045 PECOS PAC ID: 9133340607 Enrollment ID: I20141027000806 |
| Provider Name | Lauren Zarro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487054847 PECOS PAC ID: 8921229170 Enrollment ID: I20141031001579 |
| Provider Name | Vinit Kothekar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790099570 PECOS PAC ID: 9931344025 Enrollment ID: I20141104001140 |
| Provider Name | Jeannette A Flores |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659770931 PECOS PAC ID: 4688996796 Enrollment ID: I20141201000169 |
| Provider Name | Alyson Axelrod |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225272735 PECOS PAC ID: 5890938062 Enrollment ID: I20141219000748 |
| Provider Name | Tara Macula |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174916597 PECOS PAC ID: 8022335975 Enrollment ID: I20150402001142 |
| Provider Name | Thomas R Adderley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487075370 PECOS PAC ID: 2961720347 Enrollment ID: I20150415000760 |
| Provider Name | Frederic Elliot Liss |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1447256680 PECOS PAC ID: 6406921626 Enrollment ID: I20150422000380 |
| Provider Name | Daniel Allan Seigerman |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1275777591 PECOS PAC ID: 3072734466 Enrollment ID: I20150618001666 |
| Provider Name | Evan Joseph Conte |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073883237 PECOS PAC ID: 1153634985 Enrollment ID: I20150722004207 |
| Provider Name | Gregory Schroeder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770816134 PECOS PAC ID: 0143548123 Enrollment ID: I20150825002843 |
| Provider Name | Daniel Bazylewicz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538393178 PECOS PAC ID: 0042432460 Enrollment ID: I20150825004038 |
| Provider Name | Joshua Armstrong |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225325343 PECOS PAC ID: 0547492290 Enrollment ID: I20150826000861 |
| Provider Name | John Horneff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053639302 PECOS PAC ID: 2264748912 Enrollment ID: I20150826001988 |
| Provider Name | Gina E Mccloskey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649655010 PECOS PAC ID: 6709191034 Enrollment ID: I20150911001098 |
| Provider Name | Shailen Woods |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235393281 PECOS PAC ID: 7416071758 Enrollment ID: I20150923001100 |
| Provider Name | Maxine E Lis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235507039 PECOS PAC ID: 1850600206 Enrollment ID: I20151026001190 |
| Provider Name | Katie M Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548637135 PECOS PAC ID: 5890005847 Enrollment ID: I20151104001004 |
| Provider Name | Melissa L Ring |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033418942 PECOS PAC ID: 3870893001 Enrollment ID: I20151119002566 |
| Provider Name | Holly M Peters |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033587019 PECOS PAC ID: 7719296110 Enrollment ID: I20151210001702 |
| Provider Name | Dennis Nutini |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1568621134 PECOS PAC ID: 6901942424 Enrollment ID: I20160104000792 |
| Provider Name | Stephanie A Mastropaolo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376910182 PECOS PAC ID: 6305149410 Enrollment ID: I20160125000492 |
| Provider Name | Kelly J Halsey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972772739 PECOS PAC ID: 8123197795 Enrollment ID: I20160210000477 |
| Provider Name | Leonard Teitelbaum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629439773 PECOS PAC ID: 1850699703 Enrollment ID: I20160411001024 |
| Provider Name | Meera Bajaj |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639554702 PECOS PAC ID: 7719276500 Enrollment ID: I20160518000743 |
| Provider Name | Dana C Dudo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164883062 PECOS PAC ID: 5597054007 Enrollment ID: I20160523000468 |
| Provider Name | Andrew Bernstein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730389115 PECOS PAC ID: 1254622657 Enrollment ID: I20160615000382 |
| Provider Name | Theresa Marie Campanella |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780925354 PECOS PAC ID: 3476845967 Enrollment ID: I20160701000041 |
| Provider Name | Ian David Kaye |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205128220 PECOS PAC ID: 1951691740 Enrollment ID: I20160706000607 |
| Provider Name | Sarah Bock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407213978 PECOS PAC ID: 5092007393 Enrollment ID: I20160707000056 |
| Provider Name | Paul T Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245695402 PECOS PAC ID: 1951693126 Enrollment ID: I20160708000038 |
| Provider Name | Saif U Zaman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689964280 PECOS PAC ID: 8628362076 Enrollment ID: I20160808000494 |
| Provider Name | Ciara N Beck |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588017255 PECOS PAC ID: 9234424144 Enrollment ID: I20160817000041 |
| Provider Name | Robert Piccarillo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922451509 PECOS PAC ID: 9335434992 Enrollment ID: I20160822000166 |
| Provider Name | Ryan Breznovits |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033665070 PECOS PAC ID: 9638466238 Enrollment ID: I20160926001590 |
| Provider Name | Janelle Bang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528514544 PECOS PAC ID: 1355638974 Enrollment ID: I20160926002374 |
| Provider Name | Susan Breznovits |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760938757 PECOS PAC ID: 4981991429 Enrollment ID: I20160927000642 |
| Provider Name | Julianne Roccuzzo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467908418 PECOS PAC ID: 5890082028 Enrollment ID: I20161003000114 |
| Provider Name | Katherine G Nelson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528517448 PECOS PAC ID: 0648559245 Enrollment ID: I20161123001423 |
| Provider Name | Matthew Santoro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154875060 PECOS PAC ID: 6901186006 Enrollment ID: I20161207001017 |
| Provider Name | Patricia M Bowe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477893501 PECOS PAC ID: 1951686872 Enrollment ID: I20170316000084 |
| Provider Name | Janet E Celentana |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649612441 PECOS PAC ID: 1658640776 Enrollment ID: I20170706000024 |
| Provider Name | Paul Maxwell Courtney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225329972 PECOS PAC ID: 3173829439 Enrollment ID: I20170727001727 |
| Provider Name | William Gallagher |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1295170082 PECOS PAC ID: 4385943000 Enrollment ID: I20170801000067 |
| Provider Name | Katie Palmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265740906 PECOS PAC ID: 4587826151 Enrollment ID: I20170815001893 |
| Provider Name | Danielle Yvonne Ponzio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942590609 PECOS PAC ID: 3779715057 Enrollment ID: I20170831002688 |
| Provider Name | Michelle C Gorman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346638012 PECOS PAC ID: 3476878901 Enrollment ID: I20170927000976 |
| Provider Name | Thomas Mccallum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225556277 PECOS PAC ID: 3678848520 Enrollment ID: I20171003007545 |
| Provider Name | Jaclyn Giangrande |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891211959 PECOS PAC ID: 8123393915 Enrollment ID: I20171004001696 |
| Provider Name | David Chen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700302122 PECOS PAC ID: 0143595785 Enrollment ID: I20171006000688 |
| Provider Name | Edward J Rosero |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1780817585 PECOS PAC ID: 7719110253 Enrollment ID: I20171009001321 |
| Provider Name | Ryan Channick |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1578822730 PECOS PAC ID: 6901172295 Enrollment ID: I20171101002465 |
| Provider Name | Michael Camacho |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760810261 PECOS PAC ID: 5991061327 Enrollment ID: I20171117000543 |
| Provider Name | Lindsey Szymaszek |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1316205990 PECOS PAC ID: 5092954958 Enrollment ID: I20171120003037 |
| Provider Name | David Wong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568977585 PECOS PAC ID: 3375802812 Enrollment ID: I20180109001413 |
| Provider Name | Sean Timothy Bryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699760876 PECOS PAC ID: 7214937663 Enrollment ID: I20180116000729 |
| Provider Name | Alexandra E Vertus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104366137 PECOS PAC ID: 9638440068 Enrollment ID: I20180129000925 |
| Provider Name | Christy L Heltzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831604545 PECOS PAC ID: 7113286824 Enrollment ID: I20180214000641 |
| Provider Name | Jocelyn Rosalie Bixler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245738608 PECOS PAC ID: 1850652587 Enrollment ID: I20180221000163 |
| Provider Name | Taylor Pendergast |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710486774 PECOS PAC ID: 1557622099 Enrollment ID: I20180226002522 |
| Provider Name | Audrey D Scanlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043721616 PECOS PAC ID: 9436418951 Enrollment ID: I20180301000760 |
| Provider Name | Travis Fahey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710499041 PECOS PAC ID: 2466714340 Enrollment ID: I20180314000178 |
| Provider Name | Matthew Lopes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053813394 PECOS PAC ID: 9032471438 Enrollment ID: I20180323000419 |
| Provider Name | Bridget Marie Steen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356854624 PECOS PAC ID: 3375805708 Enrollment ID: I20180326000181 |
| Provider Name | Fiby Habashi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639684764 PECOS PAC ID: 2769744093 Enrollment ID: I20180326000502 |
| Provider Name | Isabelle C Brousse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013379288 PECOS PAC ID: 6901168228 Enrollment ID: I20180327001708 |
| Provider Name | Tido Nahm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124523972 PECOS PAC ID: 6002179934 Enrollment ID: I20180406000512 |
| Provider Name | Daniel Edward Davis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861782997 PECOS PAC ID: 2264664929 Enrollment ID: I20180418000272 |
| Provider Name | Sophia Rachel Chacko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922497361 PECOS PAC ID: 4082927348 Enrollment ID: I20180502000971 |
| Provider Name | Rocco Bassora |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689734154 PECOS PAC ID: 2567516271 Enrollment ID: I20180525001486 |
| Provider Name | Samir Sodha |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1407856990 PECOS PAC ID: 3678530250 Enrollment ID: I20180531000036 |
| Provider Name | Paul M Kitei |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053758342 PECOS PAC ID: 9234373473 Enrollment ID: I20180702000267 |
| Provider Name | Palak Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285125252 PECOS PAC ID: 7012263254 Enrollment ID: I20180702001374 |
| Provider Name | Brandon Joseph Erickson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598029605 PECOS PAC ID: 3577853589 Enrollment ID: I20180705002092 |
| Provider Name | Meghan Bishop |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629334941 PECOS PAC ID: 9638301815 Enrollment ID: I20180711000892 |
| Provider Name | Robert Jaworski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740771484 PECOS PAC ID: 7214283811 Enrollment ID: I20180712001687 |
| Provider Name | Samantha Bragg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891211132 PECOS PAC ID: 5991052458 Enrollment ID: I20180716002450 |
| Provider Name | Lauren Tagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841785672 PECOS PAC ID: 0547518425 Enrollment ID: I20180809000581 |
| Provider Name | Atif K Ahmed |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184981789 PECOS PAC ID: 6800167107 Enrollment ID: I20180821002190 |
| Provider Name | Jessica L Abramo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366966038 PECOS PAC ID: 2860742038 Enrollment ID: I20180910001111 |
| Provider Name | Amy W Gargin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679053862 PECOS PAC ID: 9234489410 Enrollment ID: I20180910001454 |
| Provider Name | David Evan Surrey |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912343666 PECOS PAC ID: 4688891971 Enrollment ID: I20180912001101 |
| Provider Name | Korey Frederick Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104302280 PECOS PAC ID: 4880945799 Enrollment ID: I20180914002160 |
| Provider Name | Stephen Charles Sizer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023377751 PECOS PAC ID: 4486931029 Enrollment ID: I20180917000048 |
| Provider Name | Matthew R Craig |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386857282 PECOS PAC ID: 7517053101 Enrollment ID: I20180925002834 |
| Provider Name | Kamon Jaksarn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437632015 PECOS PAC ID: 3274885132 Enrollment ID: I20181004001866 |
| Provider Name | Thomas Ventura |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548748627 PECOS PAC ID: 7810249596 Enrollment ID: I20181008001281 |
| Provider Name | Christopher Kirk Lands |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013499037 PECOS PAC ID: 9234481615 Enrollment ID: I20181012001347 |
| Provider Name | Chintan P Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043794407 PECOS PAC ID: 9133472319 Enrollment ID: I20181106000678 |
| Provider Name | Elizabeth Conway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710058557 PECOS PAC ID: 7416137211 Enrollment ID: I20181108000519 |
| Provider Name | Kelly Haspel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225554504 PECOS PAC ID: 1052665023 Enrollment ID: I20181109000430 |
| Provider Name | Thomas Joseph Woods |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306910021 PECOS PAC ID: 1153468558 Enrollment ID: I20181115001327 |
| Provider Name | Michael James Hughes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649539453 PECOS PAC ID: 4688928104 Enrollment ID: I20181119001951 |
| Provider Name | Natalie Hrynkiewicz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679094056 PECOS PAC ID: 1658625009 Enrollment ID: I20181121000886 |
| Provider Name | Darilyn Sumagaysay Maningas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750673323 PECOS PAC ID: 5991049264 Enrollment ID: I20181128002884 |
| Provider Name | Francis Isola |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649746835 PECOS PAC ID: 2860736725 Enrollment ID: I20181204000022 |
| Provider Name | Mick Sudol |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255802898 PECOS PAC ID: 0648516161 Enrollment ID: I20190103002868 |
| Provider Name | Amy Fleischman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508816562 PECOS PAC ID: 6608928486 Enrollment ID: I20190211001956 |
| Provider Name | Michael Habersaat |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043776131 PECOS PAC ID: 4385983485 Enrollment ID: I20190307002351 |
| Provider Name | Amanda Bernadette Reardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730670332 PECOS PAC ID: 9830447184 Enrollment ID: I20190321001155 |
| Provider Name | Rachel Rose Cordasco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285191270 PECOS PAC ID: 6305186693 Enrollment ID: I20190325000296 |
| Provider Name | Daniel Craig Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750688396 PECOS PAC ID: 5698085132 Enrollment ID: I20190417000521 |
| Provider Name | Joshua Vernick Okon |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1558652198 PECOS PAC ID: 2062659642 Enrollment ID: I20190529001873 |
| Provider Name | Chad Arthur Krueger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184858185 PECOS PAC ID: 6406090117 Enrollment ID: I20190620001872 |
| Provider Name | Matthew J Grosso |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316366792 PECOS PAC ID: 0446584627 Enrollment ID: I20190621000095 |
| Provider Name | Jennifer A Blair |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386201986 PECOS PAC ID: 5294069043 Enrollment ID: I20190627001634 |
| Provider Name | David M Beck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124461033 PECOS PAC ID: 1557593589 Enrollment ID: I20190726001532 |
| Provider Name | Jason Alexander Brustein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629484340 PECOS PAC ID: 4587882790 Enrollment ID: I20190726002837 |
| Provider Name | Robert Pivec |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568773489 PECOS PAC ID: 2062759186 Enrollment ID: I20190805002050 |
| Provider Name | Jacob Eli Tulipan |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1770926529 PECOS PAC ID: 8224339163 Enrollment ID: I20190820001778 |
| Provider Name | Sergio Hernando Pulido |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770925083 PECOS PAC ID: 4486992757 Enrollment ID: I20190822002025 |
| Provider Name | Tyler Michael Kreitz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801239645 PECOS PAC ID: 5092947440 Enrollment ID: I20190826000340 |
| Provider Name | Rebecca Sachs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366083123 PECOS PAC ID: 9133551948 Enrollment ID: I20191118000029 |
| Provider Name | Lindsey M O Neil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629546494 PECOS PAC ID: 4082968862 Enrollment ID: I20191203001964 |
| Provider Name | Bradley J Smith |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1902928047 PECOS PAC ID: 3375649676 Enrollment ID: I20191204001700 |
| Provider Name | Dustin Passigli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720455843 PECOS PAC ID: 0749583300 Enrollment ID: I20191220000194 |
| Provider Name | Danielle Legendre Liegl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679552384 PECOS PAC ID: 7911170030 Enrollment ID: I20191231001383 |
| Provider Name | Erik Michael Romeo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144868332 PECOS PAC ID: 8729415401 Enrollment ID: I20200218002083 |
| Provider Name | Joseph O'neil |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558627091 PECOS PAC ID: 2668604778 Enrollment ID: I20200221001646 |
| Provider Name | Matthew Mclean |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669571758 PECOS PAC ID: 6709787575 Enrollment ID: I20200227000115 |
| Provider Name | Andres Chacon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366074148 PECOS PAC ID: 5294163101 Enrollment ID: I20200306001660 |
| Provider Name | Daniel Leo Wallenstein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720455850 PECOS PAC ID: 0446688816 Enrollment ID: I20200318000331 |
| Provider Name | Efe Osemeha |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497388839 PECOS PAC ID: 6103257530 Enrollment ID: I20200519000570 |
| Provider Name | Jose Antonio Canseco |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235558362 PECOS PAC ID: 4183046063 Enrollment ID: I20200623001170 |
| Provider Name | Blair Surran Ashley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053722306 PECOS PAC ID: 7315244076 Enrollment ID: I20200708000026 |
| Provider Name | Tomasz Chec |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326400474 PECOS PAC ID: 0345524104 Enrollment ID: I20200708001265 |
| Provider Name | Marcelo B P Siqueira |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790164978 PECOS PAC ID: 7719280510 Enrollment ID: I20200708002442 |
| Provider Name | Trevor Robert Grace |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629488697 PECOS PAC ID: 4284927633 Enrollment ID: I20200710000030 |
| Provider Name | Bryce Basques |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124409032 PECOS PAC ID: 2961792023 Enrollment ID: I20200713002099 |
| Provider Name | Christopher M Aland |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1073510038 PECOS PAC ID: 6103738463 Enrollment ID: I20200715001681 |
| Provider Name | Yamila Nicasio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790393916 PECOS PAC ID: 2961826292 Enrollment ID: I20200721000234 |
| Provider Name | Anthony T Walsh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417565987 PECOS PAC ID: 7618391574 Enrollment ID: I20200724000325 |
| Provider Name | Jason Comroe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639780240 PECOS PAC ID: 1951727999 Enrollment ID: I20200820002186 |
| Provider Name | Amanda Sze |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245842038 PECOS PAC ID: 8123445798 Enrollment ID: I20200827000964 |
| Provider Name | Roshan D Desai |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578173357 PECOS PAC ID: 6507283587 Enrollment ID: I20200827002009 |
| Provider Name | Michael Locantore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629689252 PECOS PAC ID: 0840618807 Enrollment ID: I20200908003296 |
| Provider Name | William Lovejoy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144839051 PECOS PAC ID: 7315365228 Enrollment ID: I20200909001897 |
| Provider Name | Lauren Chang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275147779 PECOS PAC ID: 1355769282 Enrollment ID: I20200909002617 |
| Provider Name | Nevin George |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407460926 PECOS PAC ID: 0042638801 Enrollment ID: I20200911000425 |
| Provider Name | Ammar Mustafa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023629854 PECOS PAC ID: 1456779578 Enrollment ID: I20200922000298 |
| Provider Name | Danielle Burns |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902410913 PECOS PAC ID: 8527487636 Enrollment ID: I20200923000646 |
| Provider Name | Brett Ploshnick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720692387 PECOS PAC ID: 7911326046 Enrollment ID: I20200923001323 |
| Provider Name | Nicole Baratta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225642689 PECOS PAC ID: 0143649202 Enrollment ID: I20200923002325 |
| Provider Name | Tamara Levy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427697390 PECOS PAC ID: 7315371002 Enrollment ID: I20200929002648 |
| Provider Name | Haylee Alonso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205447919 PECOS PAC ID: 4880013028 Enrollment ID: I20201007002185 |
| Provider Name | Sarah J Weinstein |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1386094332 PECOS PAC ID: 5294069233 Enrollment ID: I20201012001710 |
| Provider Name | Danelle Kwis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508854316 PECOS PAC ID: 6406276450 Enrollment ID: I20201014000079 |
| Provider Name | Michael Louis Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003979261 PECOS PAC ID: 4880594027 Enrollment ID: I20201014000957 |
| Provider Name | Alexandra Worek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467059675 PECOS PAC ID: 8921428814 Enrollment ID: I20201014002349 |
| Provider Name | Katherine Anne Petty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396344834 PECOS PAC ID: 4284044314 Enrollment ID: I20201102000167 |
| Provider Name | Chris Cherian |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1285014159 PECOS PAC ID: 8527394766 Enrollment ID: I20201104000768 |
| Provider Name | Augustine Caoile |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134716228 PECOS PAC ID: 3779996269 Enrollment ID: I20201229003052 |
| Provider Name | Marilyn Malinowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265779185 PECOS PAC ID: 6002110889 Enrollment ID: I20210105000023 |
| Provider Name | Anne Catherine Patti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699389239 PECOS PAC ID: 3678986858 Enrollment ID: I20210310003070 |
| Provider Name | Kaitlyn Nicole Craig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518551233 PECOS PAC ID: 7810304441 Enrollment ID: I20210329000464 |
| Provider Name | Fatima E Adamu |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891354049 PECOS PAC ID: 0648688135 Enrollment ID: I20210422000967 |
| Provider Name | Vito P Pinto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023417482 PECOS PAC ID: 0547572281 Enrollment ID: I20210504000540 |
| Provider Name | Magdalena Purchla |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629663786 PECOS PAC ID: 4082023999 Enrollment ID: I20210505002426 |
| Provider Name | Megan Gensler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407438641 PECOS PAC ID: 6901215284 Enrollment ID: I20210518000991 |
| Provider Name | Philip J Koehler |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790216000 PECOS PAC ID: 0749559821 Enrollment ID: I20210525002650 |
| Provider Name | Joshua Hollinger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235578139 PECOS PAC ID: 9133490014 Enrollment ID: I20210629001131 |
| Provider Name | Justin Kistler |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1164833612 PECOS PAC ID: 9133456452 Enrollment ID: I20210629001563 |
| Provider Name | Eitan M Kohan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619358207 PECOS PAC ID: 6901110105 Enrollment ID: I20210719000096 |
| Provider Name | Kevin Henrichsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316326648 PECOS PAC ID: 7517245400 Enrollment ID: I20210803000540 |
| Provider Name | Sahba Oboudiyat |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1457712010 PECOS PAC ID: 0547505596 Enrollment ID: I20210809002073 |
| Provider Name | Stephanie Marie Gwin |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1376905810 PECOS PAC ID: 8527351675 Enrollment ID: I20210812001299 |
| Provider Name | Bryan A Hozack |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1558757583 PECOS PAC ID: 1850600503 Enrollment ID: I20210812001412 |
| Provider Name | Monica L Divito |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447227780 PECOS PAC ID: 3577969302 Enrollment ID: I20210902001661 |
| Provider Name | Marielle T Austin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427728799 PECOS PAC ID: 8729485404 Enrollment ID: I20210922002672 |
| Provider Name | Katherine Nellie Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518639293 PECOS PAC ID: 7719385046 Enrollment ID: I20211018000592 |
| Provider Name | Karen Jean Stockton Roesch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902563075 PECOS PAC ID: 3678963790 Enrollment ID: I20211203002623 |
| Provider Name | Samantha M Mastanduno |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770937419 PECOS PAC ID: 1052645579 Enrollment ID: I20211208001516 |
| Provider Name | Emily A Koop |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992464358 PECOS PAC ID: 4981095288 Enrollment ID: I20211221001648 |
| Provider Name | Jaclyn B Rodriguez |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1750762027 PECOS PAC ID: 5597014811 Enrollment ID: I20220105002163 |
| Provider Name | Alexander Scott Paluzzi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700545431 PECOS PAC ID: 6800288440 Enrollment ID: I20220112000138 |
| Provider Name | Shane Famille |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689781593 PECOS PAC ID: 8426436437 Enrollment ID: I20220603000887 |
| Provider Name | Julie Lin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689160665 PECOS PAC ID: 0749669067 Enrollment ID: I20220616001772 |
| Provider Name | Mark James Lambrechts |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477904472 PECOS PAC ID: 5092086488 Enrollment ID: I20220720000077 |
| Provider Name | Ramakanth R Yakkanti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679004774 PECOS PAC ID: 1355723024 Enrollment ID: I20220728001643 |
| Provider Name | John Mangan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932563327 PECOS PAC ID: 0244529204 Enrollment ID: I20220802002082 |
| Provider Name | David A. Quinzi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225560378 PECOS PAC ID: 1850641705 Enrollment ID: I20220802002655 |
| Provider Name | Erik Woelber |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134655830 PECOS PAC ID: 3971876764 Enrollment ID: I20220802003202 |
| Provider Name | Diren Arsoy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568773463 PECOS PAC ID: 6204082035 Enrollment ID: I20220812002498 |
| Provider Name | David E Demik |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487181160 PECOS PAC ID: 4981973641 Enrollment ID: I20220817000017 |
| Provider Name | Michael Nolte |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942730163 PECOS PAC ID: 2860765039 Enrollment ID: I20220817001551 |
| Provider Name | Caleb Yeung |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649629940 PECOS PAC ID: 3870871189 Enrollment ID: I20220817004031 |
| Provider Name | Ilda Bajraktari Molloy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285097378 PECOS PAC ID: 7012207681 Enrollment ID: I20220819002880 |
| Provider Name | Hesham Saleh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871027169 PECOS PAC ID: 2264770635 Enrollment ID: I20220826001909 |
| Provider Name | William E Ryan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962851147 PECOS PAC ID: 7214335983 Enrollment ID: I20220830000414 |
| Provider Name | Robert Zbeda |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1235526385 PECOS PAC ID: 2365786902 Enrollment ID: I20220830002642 |
| Provider Name | Philip Motley |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1598179657 PECOS PAC ID: 1759651003 Enrollment ID: I20220907003891 |
| Provider Name | Jeffrey M Boyd |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770076176 PECOS PAC ID: 0648527655 Enrollment ID: I20220913000026 |
| Provider Name | Lawrence G Chang |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1780125914 PECOS PAC ID: 2769861673 Enrollment ID: I20220915001583 |
| Provider Name | Erik Geiger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285015776 PECOS PAC ID: 0244508141 Enrollment ID: I20220927000024 |
| Provider Name | Jared M Barlow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861110686 PECOS PAC ID: 8921484718 Enrollment ID: I20220930002894 |
| Provider Name | Natalie Coronado |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013638782 PECOS PAC ID: 3476939141 Enrollment ID: I20221004000051 |
| Provider Name | Miriam Grace Kaunzinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992425870 PECOS PAC ID: 6901282615 Enrollment ID: I20221004002080 |
| Provider Name | Erick R Kazarian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538515432 PECOS PAC ID: 8123316486 Enrollment ID: I20221012000034 |
| Provider Name | Courtney J Hutchins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285242263 PECOS PAC ID: 9739504176 Enrollment ID: I20221014000140 |
| Provider Name | Alexis Mccollum |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669194718 PECOS PAC ID: 4789050758 Enrollment ID: I20221017000024 |
| Provider Name | Stanislau Monak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447974852 PECOS PAC ID: 0042687709 Enrollment ID: I20221109001618 |
| Provider Name | Selene G Parekh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588601488 PECOS PAC ID: 9638189780 Enrollment ID: I20221117001188 |
| Provider Name | Kornelis A Poelstra |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467496828 PECOS PAC ID: 6507868593 Enrollment ID: I20221122001706 |
| Provider Name | Caden Mitchell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013431485 PECOS PAC ID: 9638541857 Enrollment ID: I20230215002414 |
| Provider Name | Chetan Gohal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275115560 PECOS PAC ID: 1254738545 Enrollment ID: I20230502001393 |
| Provider Name | Alexander G Athey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235660010 PECOS PAC ID: 0042582777 Enrollment ID: I20230609000162 |
| Provider Name | Hope Skibicki Thalody |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831682699 PECOS PAC ID: 2668830076 Enrollment ID: I20230616000867 |
| Provider Name | Robert A Delucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780257485 PECOS PAC ID: 6709280910 Enrollment ID: I20230626001765 |
| Provider Name | Matthew Phillip Berlin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750945838 PECOS PAC ID: 8921467846 Enrollment ID: I20230710002184 |
| Provider Name | Alan E Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053800490 PECOS PAC ID: 4688929086 Enrollment ID: I20230714000335 |
| Provider Name | Michael B Held |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306340229 PECOS PAC ID: 2961741301 Enrollment ID: I20230714000536 |
| Provider Name | Peter Swiatek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013411412 PECOS PAC ID: 4981940491 Enrollment ID: I20230717001499 |
| Provider Name | Harry M Lightsey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609364322 PECOS PAC ID: 8729331863 Enrollment ID: I20230718000617 |
| Provider Name | Grace X Xiong |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306334859 PECOS PAC ID: 8123371275 Enrollment ID: I20230718001240 |
| Provider Name | Jody A Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912306820 PECOS PAC ID: 1456571983 Enrollment ID: I20230725001293 |
| Provider Name | Mia Song |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164914263 PECOS PAC ID: 8426384769 Enrollment ID: I20230727003732 |
| Provider Name | Zachary T Wilt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417488628 PECOS PAC ID: 4284902503 Enrollment ID: I20230728000493 |
| Provider Name | Brian W Buck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790729903 PECOS PAC ID: 3072516947 Enrollment ID: I20230808002557 |
| Provider Name | Yunsoo A Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528592730 PECOS PAC ID: 6507102811 Enrollment ID: I20230811000628 |
| Provider Name | Alexandra Gabrielli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952821514 PECOS PAC ID: 0446517734 Enrollment ID: I20230820000012 |
| Provider Name | Dennis A Debernardis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508396276 PECOS PAC ID: 4183006968 Enrollment ID: I20230829002467 |
| Provider Name | Monal Y Patel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194201483 PECOS PAC ID: 6608126248 Enrollment ID: I20230901000575 |
| Provider Name | Matthew Deasey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942733183 PECOS PAC ID: 1254602451 Enrollment ID: I20230901001538 |
| Provider Name | Jesse Louis Tierno |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154005197 PECOS PAC ID: 1759745045 Enrollment ID: I20230920000945 |
| Provider Name | Maiya Halasa |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225710874 PECOS PAC ID: 7012361686 Enrollment ID: I20230930000103 |
| Provider Name | Anny C Hsu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306102348 PECOS PAC ID: 0749618098 Enrollment ID: I20231005001544 |
Dr. Catherine Morse,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Route 70, Inside Walmart, Marlton, NJ 08043 Phone: 856-596-2432 | |
Cherry Hill Evesham Pediatric And Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 Lippincott Dr, Marlton, NJ 08053 Phone: 856-985-3700 | |
Advocare Mirmanesh Pediatric & Adult Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 651 Route 73 N Ste 311, Marlton, NJ 08053 Phone: 856-985-8100 Fax: 856-985-8374 | |
Cadoro Pediatrics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Route 73 S, Suite 307a, Marlton, NJ 08053 Phone: 856-983-9666 Fax: 856-983-2662 | |
Advocare , Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 Lippincott Dr, Marlton, NJ 08053 Phone: 856-985-3700 Fax: 856-985-8476 | |
Delaware Valley Gastroenterology Associates Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Lippincott Dr, Suite E, Marlton, NJ 08053 Phone: 856-983-1900 Fax: 856-983-5110 | |
Integrated Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 94 Brick Rd, Suite 105, Marlton, NJ 08053 Phone: 856-988-0444 |