Christopher Park, | |
600 Washington Ave, Suite 18u-a, Philadelphia, PA 19147-4836 | |
(215) 678-4620 | |
Not Available |
Full Name | Christopher Park |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 600 Washington Ave, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467995985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | PT025677 (Pennsylvania) | Primary |
Provider Name | Optimal Physical Therapy Gym Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1386964773 PECOS PAC ID: 7517155468 Enrollment ID: O20101220000861 |
Mailing Address | Practice Location Address |
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Christopher Park, 11805 Audubon Ave, Philadelphia, PA 19116-2416 Ph: () - | Christopher Park, 600 Washington Ave, Suite 18u-a, Philadelphia, PA 19147-4836 Ph: (215) 678-4620 |
Mr. James Blakely, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 E Wadsworth Ave, Unit 1, Philadelphia, PA 19150 Phone: 267-323-2778 Fax: 267-323-2774 | |
Meredith Mayes, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 420 Bainbridge St, Philadelphia, PA 19147 Phone: 215-629-3837 Fax: 215-629-5531 | |
Vincent Ngo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 133 W Hunting Park Ave, Philadelphia, PA 19140 Phone: 215-455-5370 | |
Maureen Higgins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 N Independence Mall W, Philadelphia, PA 19106 Phone: 215-413-0600 Fax: 215-413-0684 | |
Jennifer Dekerlegand, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, 1 White Building, Philadelphia, PA 19104 Phone: 215-662-3265 | |
Doriean Broady, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4902 Arch St Unit 1, Philadelphia, PA 19139 Phone: 585-944-7961 | |
Jennifer Anne Ellis, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1923 Bainbridge St, Philadelphia, PA 19146 Phone: 215-469-1832 |