Christopher John Stankiewicz Jr, | |
462 Washington Ave, Units 1-3, North Haven, CT 06473 | |
(203) 745-4973 | |
(203) 821-7417 |
Full Name | Christopher John Stankiewicz Jr |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 462 Washington Ave, North Haven, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205499266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 013783 (Connecticut) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
Provider Name | Revive Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1528527942 PECOS PAC ID: 0648511030 Enrollment ID: O20190412000081 |
Mailing Address | Practice Location Address |
---|---|
Christopher John Stankiewicz Jr, 21 Lake Rd, North Branford, CT 06471-1253 Ph: (203) 871-9662 | Christopher John Stankiewicz Jr, 462 Washington Ave, Units 1-3, North Haven, CT 06473 Ph: (203) 745-4973 |
Synergy Rehabilitation Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 52 Washington Ave, Suite 4, North Haven, CT 06473 Phone: 203-691-0961 | |
Dr. Michael Velasquez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8 Devine St, North Haven, CT 06473 Phone: 203-230-9226 | |
Stephen Giblin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 State St, North Haven, CT 06473 Phone: 203-239-4274 Fax: 203-239-4290 | |
Dr. David Mikos, D.C., P.T., M.C.T.A. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 State St, North Haven, CT 06473 Phone: 203-239-4274 Fax: 203-239-4290 | |
Anthony Agtane Salonga, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Manomet Ave, North Haven, CT 06473 Phone: 203-909-4468 | |
Mr. Aeden P. Morley, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 202 State Street, C/o Quinnipiac Physical Therapy & Sports Medicine, North Haven, CT 06473 Phone: 203-239-4274 Fax: 202-239-4290 | |
Garrett Linske, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 State St, North Haven, CT 06473 Phone: 203-239-4274 Fax: 203-239-4290 |