Adam Dematteo, | |
117 W Wellington Aly, Ligonier, PA 15658-6201 | |
(724) 995-8815 | |
Not Available |
Full Name | Adam Dematteo |
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Gender | Male |
Speciality | Physical Therapist |
Location | 117 W Wellington Aly, Ligonier, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134679962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT024200 (Pennsylvania) | Primary |
Provider Name | Excela Health Physician Practices, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821225202 PECOS PAC ID: 6204737117 Enrollment ID: O20040322001393 |
Mailing Address | Practice Location Address |
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Adam Dematteo, 520 Jefferson Ave, Suite 400, Jeannette, PA 15644-2538 Ph: (724) 850-6933 | Adam Dematteo, 117 W Wellington Aly, Ligonier, PA 15658-6201 Ph: (724) 995-8815 |
Orlando Daniel Harvard, Physical Therapist Medicare: Medicare Enrolled Practice Location: 117 W Wellington Aly, Ligonier, PA 15658 Phone: 724-995-8815 Fax: 724-441-4010 | |
Lauren Heiple, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 352 Railroad St, Ligonier, PA 15658 Phone: 724-238-6660 Fax: 724-238-3010 | |
Janell F Emery-smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 W Wellington Aly, Ligonier, PA 15658 Phone: 724-995-8815 | |
Tammy Kedzierski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 352 Railroad Street, Ligonier, PA 15658 Phone: 724-238-6660 | |
Rebecca L Puskar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 W Wellington Aly, Ligonier, PA 15658 Phone: 724-850-6933 Fax: 724-522-4022 | |
Kimberly Metzger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 W Wellington Aly, Ligonier, PA 15658 Phone: 724-995-8815 |