Boomer Brendan Michael Kemp, DPT | |
1200 Brooks Ln Ste 210, Jefferson Hills, PA 15025-3761 | |
(412) 330-5828 | |
Not Available |
Full Name | Boomer Brendan Michael Kemp |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1200 Brooks Ln Ste 210, Jefferson Hills, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629716139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT030648 (Pennsylvania) | Primary |
225100000X | Physical Therapist | TPT023510 (Pennsylvania) | Secondary |
Provider Name | Allegheny Clinic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602 |
Mailing Address | Practice Location Address |
---|---|
Boomer Brendan Michael Kemp, DPT 1200 Brooks Ln Ste 210, Jefferson Hills, PA 15025-3761 Ph: (412) 330-5828 | Boomer Brendan Michael Kemp, DPT 1200 Brooks Ln Ste 210, Jefferson Hills, PA 15025-3761 Ph: (412) 330-5828 |
Taurie Vanae Hill, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1200 Brooks Ln Ste 230, Jefferson Hills, PA 15025 Phone: 412-469-3456 | |
Amy Hynde, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 Brooks Ln, Suite 230, Jefferson Hills, PA 15025 Phone: 412-469-2508 | |
Jeffrey Walters, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 384 Greene Dr, Jefferson Hills, PA 15025 Phone: 412-901-0272 | |
Chevon Robertson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 511 Payne Hill Rd, Apt #117c, Jefferson Hills, PA 15025 Phone: 304-281-3639 | |
Crystal Lynn Myers, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 132 Hollywood Dr, Jefferson Hills, PA 15025 Phone: 412-780-0430 | |
Alicia Adams, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 Brooks Ln, Suite 230, Jefferson Hills, PA 15025 Phone: 412-469-2508 |