Evolution Home Physical Therapy, P.c. | |
7 Waterview Dr, Port Jefferson, NY 11777-1169 | |
(631) 513-9475 | |
(631) 689-5828 |
Full Name | Evolution Home Physical Therapy, P.c. |
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Type | Facility |
Speciality | Physical Therapist |
Location | 7 Waterview Dr, Port Jefferson, 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 |
---|---|---|---|
1477564599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Scott Richard Lindsay |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205847308 PECOS PAC ID: 5991606915 Enrollment ID: I20040114000173 |
Provider Name | Stacey R Leeds |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164404372 PECOS PAC ID: 7113919051 Enrollment ID: I20040517001220 |
Provider Name | Caryn Leslie Blum |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831171396 PECOS PAC ID: 1759455041 Enrollment ID: I20080805000266 |
Provider Name | David Nieves |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316170061 PECOS PAC ID: 0042350324 Enrollment ID: I20091217000227 |
Provider Name | Susan Thomas |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184932881 PECOS PAC ID: 6709059462 Enrollment ID: I20111026000187 |
Provider Name | Albert P Sagnella |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235103821 PECOS PAC ID: 1557516440 Enrollment ID: I20130226000234 |
Mailing Address | Practice Location Address |
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Evolution Home Physical Therapy, P.c. 7 Waterview Dr, Port Jefferson, NY 11777-1169 Ph: (631) 513-9475 | Evolution Home Physical Therapy, P.c. 7 Waterview Dr, Port Jefferson, NY 11777-1169 Ph: (631) 513-9475 |
Ms. Laura Lynn Beck, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-476-5606 Fax: 631-474-6144 | |
Mr. Brian J Heim, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 635 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-928-2277 Fax: 631-928-7572 | |
Mrs. Laura A Raymond, PT, CHT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 70 N Country Rd, Suite 103, Port Jefferson, NY 11777 Phone: 631-331-3608 Fax: 631-331-2392 | |
Ms. Pattianne Ruppel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6111 Fax: 631-474-6861 | |
Ms. Elizabeth Ann Thomas-lov, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Avon Dr, Port Jefferson, NY 11777 Phone: 631-828-0817 | |
Anna Maria Warmuz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Belle Terre Rd, C/o St. Charles Hospital Ped. Pt, Port Jefferson, NY 11777 Phone: 201-394-9514 | |
Mr. John C Kawas, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 655 Belle Terre Rd, Apart 55, Port Jefferson, NY 11777 Phone: 631-974-0026 |