Diane K Long, PT | |
6 Greenwich Office Park, Greenwich, CT 06831-5151 | |
(203) 869-1145 | |
(203) 629-7606 |
Full Name | Diane K Long |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 38 Years |
Location | 6 Greenwich Office Park, Greenwich, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174595953 | NPI | - | NPPES |
3120763 | Other | CT | AETNA |
080003812CT04 | Other | CT | ANTHEM BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 003812 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivyrehab Connecticut Inc | 8325203649 | 48 |
Provider Name | Ivyrehab Connecticut Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1265799365 PECOS PAC ID: 8325203649 Enrollment ID: O20120711000223 |
Mailing Address | Practice Location Address |
---|---|
Diane K Long, PT 6 Greenwich Office Park, Greenwich, CT 06831-5151 Ph: (203) 869-1145 | Diane K Long, PT 6 Greenwich Office Park, Greenwich, CT 06831-5151 Ph: (203) 869-1145 |
Sabrina Douglass, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6 Greenwich Office Park, Greenwich, CT 06831 Phone: 203-869-1145 Fax: 203-629-7606 | |
Elizabeth Catalano Graveline, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6 Greenwich Office Park, Greenwich, CT 06831 Phone: 203-869-1145 Fax: 203-869-6998 | |
Melissa Ann Vallera, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 469 W Putnam Ave, Suite 202, Greenwich, CT 06830 Phone: 203-869-5546 Fax: 203-629-4836 | |
Chalon E Westcott, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Greenwich Office Park, Greenwich, CT 06831 Phone: 203-869-1145 Fax: 203-629-7606 | |
Apollo Physical Therapy , Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 Railroad Ave, Greenwich, CT 06830 Phone: 203-674-9540 | |
Brian Roberts, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Holly Hill Ln, Greenwich, CT 06830 Phone: 203-276-8526 | |
Nicole Branck, R.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Greenwich Office Park, Greenwich, CT 06831 Phone: 203-869-1145 Fax: 203-629-7606 |