| Erin Nielsen, PT | |
|
20 Assembly Dr Ste 101, Mendon, NY 14506-9609 | |
| (585) 582-1330 | |
| (585) 582-2537 |
| Full Name | Erin Nielsen |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 20 Assembly Dr Ste 101, Mendon, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841230059 | NPI | - | NPPES |
| FA0501 | Other | NY | PREFERRED CARE |
| P0140059WH | Other | NY | BLUE CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 0018001 (New York) | Secondary |
| 225100000X | Physical Therapist | 12567 (South Carolina) | Primary |
| Provider Name | Benchmark Healthcare Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1811213341 PECOS PAC ID: 3779726468 Enrollment ID: O20130828000417 |
| Provider Name | Drayer Physical Therapy-south Carolina ,llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1841622354 PECOS PAC ID: 7315171394 Enrollment ID: O20131004000553 |
| Provider Name | Agilitas Usa Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20151021002796 |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Nielsen, PT Po Box 212, Mendon, NY 14506-0212 Ph: (585) 582-1330 | Erin Nielsen, PT 20 Assembly Dr Ste 101, Mendon, NY 14506-9609 Ph: (585) 582-1330 |
Scott Millman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Assembly Drive, Suite 101, Mendon, NY 14506 Phone: 585-582-1330 Fax: 585-582-2537 | |
Mr. John Harold Shuman, P.T., A.T.C. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Assembly Dr, Suite 101, Mendon, NY 14506 Phone: 585-582-1330 Fax: 585-582-2537 | |
Juan Pantoja, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Assembly Dr, Mendon, NY 14506 Phone: 585-582-1330 | |
Dustin Joseph Maracle, D.P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Assembly Dr, Mendon, NY 14506 Phone: 585-851-9987 Fax: 866-299-5675 | |
Kelsy Boldt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Assembly Dr, Mendon, NY 14506 Phone: 585-582-1330 Fax: 585-582-2537 |