| Advanced Sports Therapy, Llc | |
|
62 Walnut St, Wellesley, MA 02481-2113 | |
| (781) 235-5275 | |
| (781) 235-5276 |
| Full Name | Advanced Sports Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 62 Walnut St, Wellesley, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245772839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Kanella Karatasakis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629247937 PECOS PAC ID: 7315022258 Enrollment ID: I20080317000438 |
| Provider Name | Scott Daniel Kuhn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316144876 PECOS PAC ID: 9638244775 Enrollment ID: I20100113000781 |
| Provider Name | Matthew Penney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043291198 PECOS PAC ID: 4082871199 Enrollment ID: I20120201000390 |
| Provider Name | William Austin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457755506 PECOS PAC ID: 5193047827 Enrollment ID: I20141208000277 |
| Provider Name | Andrea Bristol |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033638507 PECOS PAC ID: 0244596518 Enrollment ID: I20171102002580 |
| Provider Name | Ashley Traniello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780140061 PECOS PAC ID: 2365782943 Enrollment ID: I20190318001702 |
| Provider Name | Brittany Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447845151 PECOS PAC ID: 7416363577 Enrollment ID: I20210316000252 |
| Provider Name | Charlotte Russell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184398000 PECOS PAC ID: 0244636702 Enrollment ID: I20210908002573 |
| Provider Name | Alice O'connor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225802036 PECOS PAC ID: 0143678144 Enrollment ID: I20231201001171 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Sports Therapy, Llc 62 Walnut St, Wellesley, MA 02481-2113 Ph: (781) 235-5275 | Advanced Sports Therapy, Llc 62 Walnut St, Wellesley, MA 02481-2113 Ph: (781) 235-5275 |
Colleen L Caligiuri, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 Laurel Ave, Wellesley, MA 02481 Phone: 781-237-5585 | |
Andrea Bristol, PT, DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 62 Walnut St, Wellesley, MA 02481 Phone: 781-235-5275 | |
Amanda Nicole Kuczmiec, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2 Laurel Ave, Wellesley, MA 02481 Phone: 781-237-5585 Fax: 781-237-5633 | |
Mr. Lawrence Ross, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 Laurel Ave, Wellesley, MA 02481 Phone: 781-237-5585 Fax: 781-237-5633 | |
Dr. Nancy J Roberge, PT DPT MED Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 148 Linden St, Ste B-8, Wellesley, MA 02482 Phone: 781-263-9977 | |
Justin Dichio, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Laurel Ave, Wellesley, MA 02481 Phone: 781-237-5585 | |
Christine Marie Sniezek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Laurel Ave, Wellesley, MA 02481 Phone: 781-285-5082 Fax: 781-237-5633 |