| Dylan Gardner, | |
|
737 Main St Ste 5, Lumberton, NJ 08048-3089 | |
| (609) 832-0505 | |
| Not Available |
| Full Name | Dylan Gardner |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 737 Main St Ste 5, Lumberton, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679283477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02143900 (New Jersey) | Primary |
| Provider Name | Ivyrehab Network Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
| Mailing Address | Practice Location Address |
|---|---|
| Dylan Gardner, 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 294-4050 | Dylan Gardner, 737 Main St Ste 5, Lumberton, NJ 08048-3089 Ph: (609) 832-0505 |
Dr. M. Alysia Mastrangelo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1561 Route 38, Suite 5, Lumberton, NJ 08048 Phone: 609-828-7178 | |
Ryan Mcdonald, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 737 Main St Ste 5, Lumberton, NJ 08048 Phone: 609-832-0505 Fax: 609-832-0506 | |
Bhumika M Patel, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1561 Route 38, Lumberton, NJ 08048 Phone: 609-261-5656 Fax: 609-261-6432 | |
Rachel Yates, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 737 Main St Ste 5, Lumberton, NJ 08048 Phone: 609-832-0505 Fax: 609-832-0506 | |
Mrs. Jill Christine Wild, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 396 Main St, Lumberton, NJ 08048 Phone: 267-614-1810 | |
Matthew Massaro, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 737 Main St Ste 5, Lumberton, NJ 08048 Phone: 609-832-0505 Fax: 609-832-0506 | |
Alexandra R Richman, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1561 Route 38, Suite 5, Lumberton, NJ 08048 Phone: 609-261-5656 Fax: 609-261-6432 |