Brad Ciccolella, PT, MPT, OCS | |
3053 New Germany Rd, Ebensburg, PA 15931-3516 | |
(800) 332-5740 | |
Not Available |
Full Name | Brad Ciccolella |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3053 New Germany Rd, Ebensburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346328465 | NPI | - | NPPES |
1066644 | Other | WV | WORKERS' COMP |
1845645 | Other | PA | HIGHMARK |
101582673-0001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT018032 (Pennsylvania) | Primary |
Provider Name | Keystone Rehabilitation Systems Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205386547 PECOS PAC ID: 7012826753 Enrollment ID: O20161206001178 |
Mailing Address | Practice Location Address |
---|---|
Brad Ciccolella, PT, MPT, OCS 3053 New Germany Rd, Ebensburg, PA 15931-3516 Ph: () - | Brad Ciccolella, PT, MPT, OCS 3053 New Germany Rd, Ebensburg, PA 15931-3516 Ph: (800) 332-5740 |
Kelly Cole Whitsel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3053 New Germany Rd, Ebensburg, PA 15931 Phone: 800-332-5740 | |
Sara Kehrer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3035 New Germany Rd, Ebensburg, PA 15931 Phone: 814-472-1100 Fax: 814-472-1105 | |
Laura Winslow, PT, DPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3053 New Germany Rd, Ebensburg, PA 15931 Phone: 800-332-5740 | |
Drayer Physical Therapy Institute Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1104 W High St Ste 2, Ebensburg, PA 15931 Phone: 814-478-2087 Fax: 814-283-6666 | |
Scott Rosen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3053 New Germany Rd, Ebensburg, PA 15931 Phone: 800-332-5740 | |
Rajiv Sawhney, PT, MS, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3053 New Germany Rd, Ebensburg, PA 15931 Phone: 800-332-5740 | |
Kelli Robine, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 152 Zeman Dr, Ebensburg, PA 15931 Phone: 814-471-2200 |