Andrew V Mattle, PT | |
3506 Thomas Drive, Lakeville, NY 14480 | |
(585) 346-0060 | |
(585) 346-0108 |
Full Name | Andrew V Mattle |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 33 Years |
Location | 3506 Thomas Drive, Lakeville, New York |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063488948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 012202 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physical Therapy Professionals, Pc | 1153486485 | 3 |
Provider Name | Physical Therapy Professionals, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083834758 PECOS PAC ID: 1153486485 Enrollment ID: O20090219000409 |
Mailing Address | Practice Location Address |
---|---|
Andrew V Mattle, PT 3506 Thomas Drive, Lakeville, NY 14480 Ph: (585) 346-0060 | Andrew V Mattle, PT 3506 Thomas Drive, Lakeville, NY 14480 Ph: (585) 346-0060 |
Ms. Robin Crist, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3506 Thomas Dr., Lakeville, NY 14480 Phone: 585-346-0060 | |
Dr. Kevin Walther, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3506 Thomas Dr, Lakeville, NY 14480 Phone: 585-346-0060 Fax: 585-346-0108 | |
Physical Therapy Professionals, Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3506 Thomas Dr, Lakeville, NY 14480 Phone: 585-346-0060 Fax: 585-346-0108 | |
Amanda Malamud, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3506 Thomas Dr, Lakeville, NY 14480 Phone: 585-346-0060 | |
Mrs. Kristi Marie Hagen Bauer, MSPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 3506 Thomas Dr, Lakeville, NY 14480 Phone: 585-346-0060 Fax: 585-346-0108 | |
Jennifer Bock, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3506 Thomas Dr, Lakeville, NY 14480 Phone: 585-346-0060 |