Cody Tsevdos, | |
1150 Hall Of Fame Ave Ste 3, Springfield, MA 01105-2532 | |
(413) 241-8900 | |
(413) 241-8901 |
Full Name | Cody Tsevdos |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1150 Hall Of Fame Ave Ste 3, Springfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790330355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 24336 (Massachusetts) | Primary |
Provider Name | Fcc Enterprises Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952370835 PECOS PAC ID: 8426960386 Enrollment ID: O20050329000764 |
Mailing Address | Practice Location Address |
---|---|
Cody Tsevdos, 576 Broadhollow Road, Suite Pro Ex, Melville, NY 11747 Ph: (631) 359-5859 | Cody Tsevdos, 1150 Hall Of Fame Ave Ste 3, Springfield, MA 01105-2532 Ph: (413) 241-8900 |
Mrs. Diana Mary Kenney, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 State St, Springfield, MA 01109 Phone: 413-205-3442 Fax: 413-205-3957 | |
Ryan Reed, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 348 Cooley St Unit 10, Springfield, MA 01128 Phone: 413-355-5700 Fax: 413-526-9961 | |
Sara M Strzempek, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3550 Main St, Suite 102, Springfield, MA 01107 Phone: 413-734-8801 | |
Stacey Sirotta, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 136 William St, Springfield, MA 01105 Phone: 413-788-2171 | |
Zbigniew Paluch, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 336 Longhill St, Springfield, MA 01108 Phone: 413-739-0040 | |
Carol Boucek, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 136 William St, Springfield, MA 01105 Phone: 413-788-2171 | |
Kate E Callahan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3377 Main St, Springfield, MA 01107 Phone: 413-734-5661 |