| Star Physical Therapy Pllc | |
|
790 Ayrault Road, Fairport, NY 14450 | |
| (585) 425-1018 | |
| (585) 425-8955 |
| Full Name | Star Physical Therapy Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 790 Ayrault Road, Fairport, 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 |
|---|---|---|---|
| 1003962523 | NPI | - | NPPES |
| 103116FT | Other | NY | PREFILLED CARE |
| G0187891590 | Other | NY | BLUE CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary |
| Provider Name | Marcia A Spoto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831399906 PECOS PAC ID: 7517936834 Enrollment ID: I20041006000381 |
| Provider Name | Anthony Mencucci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659446441 PECOS PAC ID: 7315906369 Enrollment ID: I20041006000636 |
| Provider Name | John M Ciavaglia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821163601 PECOS PAC ID: 2466411418 Enrollment ID: I20041006000670 |
| Provider Name | Heather Michele Chatt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013052265 PECOS PAC ID: 3375701725 Enrollment ID: I20120215000224 |
| Mailing Address | Practice Location Address |
|---|---|
| Star Physical Therapy Pllc 790 Ayrault Road, Fairport, NY 14450 Ph: (585) 425-1018 | Star Physical Therapy Pllc 790 Ayrault Road, Fairport, NY 14450 Ph: (585) 425-1018 |
Dr. Heather Michele Chatt, DPT, OCS, CERT. MDT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 790 Ayrault Rd, Fairport, NY 14450 Phone: 585-425-1018 | |
Amy Colin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 149 N Main St, Bright Start Pediatric Services, Fairport, NY 14450 Phone: 585-377-2230 | |
Lauren Elizabeth Porzi, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4646 Fairport Nine Mile Pt Rd, Fairport, NY 14450 Phone: 585-377-0350 | |
Alexandra Claflin, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1387 Fairport Rd, Building 1100, Fairport, NY 14450 Phone: 585-641-0304 Fax: 585-641-0316 | |
Dr. Rodrigo Macias Jr., DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4646 Fairport Nine Mile Pt Rd, Fairport, NY 14450 Phone: 909-419-6606 | |
Mrs. Allison Beth Kling Simonian, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 790 Ayrault Rd, Fairport, NY 14450 Phone: 585-425-1018 Fax: 585-425-8955 |