Donald Martin Ponzo Jr, PT, DPT | |
653 Myrtle Dr, Covington, LA 70433-8225 | |
(985) 893-4700 | |
(985) 893-3211 |
Full Name | Donald Martin Ponzo Jr |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 653 Myrtle Dr, Covington, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740810100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 09391 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dynamic Physical Therapy Services Llc | 3577655794 | 15 |
Provider Name | Dynamic Physical Therapy Services Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1639267974 PECOS PAC ID: 3577655794 Enrollment ID: O20070817000279 |
Mailing Address | Practice Location Address |
---|---|
Donald Martin Ponzo Jr, PT, DPT 69461 Taverny Ct, Madisonville, LA 70447-3207 Ph: (504) 952-2969 | Donald Martin Ponzo Jr, PT, DPT 653 Myrtle Dr, Covington, LA 70433-8225 Ph: (985) 893-4700 |
Austen Chase Dwight, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 E Boston St, Covington, LA 70433 Phone: 985-630-4489 | |
Lea Anne Krieger, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19105 Sandy Ln, Covington, LA 70433 Phone: 985-792-7700 | |
Laura Eckel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 653 Myrtle Dr, Covington, LA 70433 Phone: 985-893-4700 Fax: 985-893-3211 | |
Christian Paul Stafford, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 70367 S Tyler St Suite 200, #21, Covington, LA 70433 Phone: 985-590-3303 | |
Kevin Gilbert Baer, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 71121 Highway 21 Apt D, Covington, LA 70433 Phone: 985-898-3979 Fax: 985-898-3981 | |
Crystal C. Ferris, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 Northpark Blvd, Suite 205, Covington, LA 70433 Phone: 985-871-7878 | |
Jonathan Bonfiglio, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1201 Ochsner Blvd, Suite A, Covington, LA 70433 Phone: 985-801-7145 Fax: 985-801-7146 |