Benjamin Gordon, | |
516 Route 134 Ste 9, South Dennis, MA 02660-3430 | |
(774) 352-7090 | |
Not Available |
Full Name | Benjamin Gordon |
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Gender | Male |
Speciality | Physical Therapist |
Location | 516 Route 134 Ste 9, South Dennis, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427742626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Massachusetts) | Primary |
Provider Name | Proex Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1831190453 PECOS PAC ID: 0345212395 Enrollment ID: O20040810000744 |
Mailing Address | Practice Location Address |
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Benjamin Gordon, 576 Broadhollow Rd, Melville, NY 11747-5002 Ph: () - | Benjamin Gordon, 516 Route 134 Ste 9, South Dennis, MA 02660-3430 Ph: (774) 352-7090 |
Madison Dacey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 860 Route 134 Ste 5&6, South Dennis, MA 02660 Phone: 508-385-4212 | |
Tessa Marie Wisniewski, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Love Ln, South Dennis, MA 02660 Phone: 508-385-6034 | |
Amy Barbara Riel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 860 Route 134, South Dennis, MA 02660 Phone: 508-385-4212 Fax: 508-385-4235 | |
Andrew Witherspoon, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 860 Route 134, Ste 5&6, South Dennis, MA 02660 Phone: 508-385-4212 Fax: 508-385-4235 | |
Emilie E Cataldo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 485 Route 134, South Dennis, MA 02660 Phone: 508-385-4611 | |
Jamie L Missios, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 485 Route 134, South Dennis, MA 02660 Phone: 508-394-0941 | |
Megan L Mann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 485 Route 134, South Dennis, MA 02660 Phone: 508-394-0941 |