| Amanda Piccolo, DPT | |
|
642 S Queen St Ste 101, Dover, DE 19904-3506 | |
| (302) 724-6344 | |
| (302) 449-2047 |
| Full Name | Amanda Piccolo |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 642 S Queen St Ste 101, Dover, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275183071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01891100 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | PT-MR-00001 (Delaware) | Primary |
| Provider Name | Ivyrehab Network Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Piccolo, DPT 1050 Industrial Dr Ste 210, Middletown, DE 19709-2803 Ph: (302) 724-6344 | Amanda Piccolo, DPT 642 S Queen St Ste 101, Dover, DE 19904-3506 Ph: (302) 724-6344 |
Adrianne Greene, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1288 S Governors Ave, Dover, DE 19904 Phone: 302-677-0100 Fax: 302-677-0267 | |
Ms. Amy Kathryn Tullis, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 97 Commerce Way, Suite 101, Dover, DE 19904 Phone: 302-734-8000 | |
Jihwan Jeong, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1288 S Governors Ave, Dover, DE 19904 Phone: 302-677-0100 | |
Kathy Tompkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 Forest St, Dover, DE 19904 Phone: 302-672-1500 | |
Christine Marie Reynolds, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 Walker Rd, Dover, DE 19904 Phone: 302-735-8800 | |
Katherine Marie Monahan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1288 S Governors Ave, Dover, DE 19904 Phone: 302-677-0100 | |
Michael Scott Richards, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Tuskegee Blvd, Dover, DE 19902 Phone: 302-677-2568 |