Anthony Frederick Ivy, PHYSICAL THERAPIST | |
61 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | |
(609) 652-7000 | |
Not Available |
Full Name | Anthony Frederick Ivy |
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Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 61 W Jimmie Leeds Rd, Pomona, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720785603 | NPI | - | NPPES |
40QA00450600 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251G0304X | Physical Therapist - Geriatrics | 40QA00450600 (New Jersey) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | 40QA00450600 (New Jersey) | Primary |
Provider Name | At Home By Enhance Therapies Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124603246 PECOS PAC ID: 4183033210 Enrollment ID: O20210503001929 |
Mailing Address | Practice Location Address |
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Anthony Frederick Ivy, PHYSICAL THERAPIST 6826 Washington Ave, Egg Harbor Township, NJ 08234-3818 Ph: (609) 431-3195 | Anthony Frederick Ivy, PHYSICAL THERAPIST 61 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 Ph: (609) 652-7000 |
Ms. Eva Johannesen, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 61 West Jimmie Leeds Road, Pomona, NJ 08240 Phone: 609-748-5400 | |
Mr. Michael David Mufferi, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-404-4723 Fax: 609-748-4792 | |
Jennifer C Brooks, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-748-6866 | |
Dr. Nicole A Sturgill, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 61 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-7000 Fax: 609-652-9581 | |
Joyce Glick, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 W. Jimmie Leeds Rd., Pomona, NJ 08240 Phone: 609-652-7000 Fax: 609-748-4792 | |
Jenna Fratterelli, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-748-6866 | |
Kristen Marsh, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 856-563-1622 |