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774 Fairmount Ave, Jamestown, NY 14701 | |
| (716) 665-1166 | |
| (866) 902-1160 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 774 Fairmount Ave, Jamestown, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679588487 | NPI | - | NPPES |
| 03787322 | Medicaid | NY | |
| AA0830 | Other | NY | PTAN |
| Provider Name | Gordon J Cwynar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821011735 PECOS PAC ID: 8426954058 Enrollment ID: I20041027000221 |
| Provider Name | Melissa M Borowiak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659521417 PECOS PAC ID: 9537217195 Enrollment ID: I20090508000323 |
| Provider Name | Tessa Elizabeth Sager |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538456744 PECOS PAC ID: 0244401735 Enrollment ID: I20110913000523 |
| Provider Name | Lisa D Beaudry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376566752 PECOS PAC ID: 1153593637 Enrollment ID: I20111027000020 |
| Provider Name | Patricia A Babcock |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1144475989 PECOS PAC ID: 6103040878 Enrollment ID: I20140619001346 |
| Provider Name | Peter B Conley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780980714 PECOS PAC ID: 8325267628 Enrollment ID: I20140918001980 |
| Provider Name | Andrea L Haskell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679973713 PECOS PAC ID: 2163642117 Enrollment ID: I20140925002093 |
| Provider Name | Stefanie Briggs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033871199 PECOS PAC ID: 6204225105 Enrollment ID: I20211115002882 |
| Provider Name | Brady Robert Collver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215618988 PECOS PAC ID: 9931561347 Enrollment ID: I20230817000740 |
| Mailing Address | Practice Location Address |
|---|---|
774 Fairmount Ave, Jamestown, NY 14701-2609 Ph: (716) 665-1166 | 774 Fairmount Ave, Jamestown, NY 14701 Ph: (716) 665-1166 |
Mr. Michael Carl Peterson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2850 Mitchell Rd, Jamestown, NY 14701 Phone: 716-487-1713 | |
Akashdeep Kaur-brar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 774 Fairmount Ave, Jamestown, NY 14701 Phone: 716-665-1166 | |
Raymond Lukach, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Jones And Gifford Ave, Jamestown, NY 14701 Phone: 716-661-1541 | |
Mr. Jacob Christopher Mcbride, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15 S Main Street, Suite 220, Jamestown, NY 14701 Phone: 716-488-2322 Fax: 716-488-2574 | |
William Bowler, MS Physical Therapist Medicare: Medicare Enrolled Practice Location: 75 Jones And Gifford Ave, Jamestown, NY 14701 Phone: 716-661-1541 | |
Megan E Mckinley, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 75 Jones And Gifford Ave, Jamestown, NY 14701 Phone: 716-661-1541 | |
Leandra Nicole St. Pierre, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 S Main St, Suite 220, Jamestown, NY 14701 Phone: 716-488-2322 Fax: 716-488-2574 |