| The Source For Health & Well Living | |
|
121 Elm St, East Aurora, NY 14052-2535 | |
| (716) 652-1803 | |
| (716) 652-1951 |
| Full Name | The Source For Health & Well Living |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 121 Elm St, East Aurora, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083694145 | NPI | - | NPPES |
| 00020087901 | Other | NY | UNIV |
| 002084681 | Other | NY | BCBS |
| AA1030 | Other | NY | MEDICARE ID- TYPE UNSPECIFIED |
| 006084683 | Other | NY | BCBS |
| 9303777 | Other | NY | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 6160 (New York) | Primary |
| Provider Name | Seth A Kaiser |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124145453 PECOS PAC ID: 7113963992 Enrollment ID: I20090303000286 |
| Provider Name | Seth A Kaiser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124145453 PECOS PAC ID: 7113963992 Enrollment ID: I20090303000366 |
| Mailing Address | Practice Location Address |
|---|---|
| The Source For Health & Well Living 121 Elm St, East Aurora, NY 14052-2535 Ph: (716) 652-1803 | The Source For Health & Well Living 121 Elm St, East Aurora, NY 14052-2535 Ph: (716) 652-1803 |
Laura Terreri, DPT, MPH Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19 Olean St, East Aurora, NY 14052 Phone: 716-652-3127 Fax: 716-652-3128 | |
Adriana Grace Reed, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 19 Olean St, East Aurora, NY 14052 Phone: 716-652-3127 | |
Beverly Stewart Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1036 Olean Rd, East Aurora, NY 14052 Phone: 716-655-0165 Fax: 716-655-4775 | |
Mrs. Nancy D Carpenter, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 Center St, East Aurora, NY 14052 Phone: 716-652-0673 | |
Beverly F Stewart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1036 Olean Rd, East Aurora, NY 14052 Phone: 716-655-0165 Fax: 716-655-4775 | |
Mr. David M Bosela, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19 Olean St, East Aurora, NY 14052 Phone: 716-652-3127 Fax: 716-652-3128 |