Gregg Inocencio, | |
1409 S Salisbury Blvd, Untis C & D, Salisbury, MD 21801-7151 | |
(667) 330-1061 | |
(410) 334-3730 |
Full Name | Gregg Inocencio |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1409 S Salisbury Blvd, Salisbury, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730519638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | J1-0003104 (Delaware) | Secondary |
225100000X | Physical Therapist | 24804 (Maryland) | Primary |
Provider Name | Tyre Physical Therapy & Performance Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1710560321 PECOS PAC ID: 0749679165 Enrollment ID: O20211105000023 |
Mailing Address | Practice Location Address |
---|---|
Gregg Inocencio, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Gregg Inocencio, 1409 S Salisbury Blvd, Untis C & D, Salisbury, MD 21801-7151 Ph: (667) 330-1061 |
Ashley Lynne Collins, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 Milford St Ste 601, Salisbury, MD 21804 Phone: 410-548-7600 Fax: 410-548-2651 | |
Brigette Tagure, Physical Therapist Medicare: Medicare Enrolled Practice Location: 224 Phillip Morris Dr Ste 204c, Salisbury, MD 21804 Phone: 410-834-3418 | |
Mrs. Beth Ann Jansen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 Kinsdale Court, Salisbury, MD 21804 Phone: 410-334-3816 | |
Mrs. Stacey Lynn Cornelius, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1109 S Schumaker Dr, Salisbury, MD 21804 Phone: 410-546-3492 Fax: 410-546-3492 | |
Roderick Fortunato B Filart, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 701 E Naylor Mill Rd Unit F, Salisbury, MD 21804 Phone: 443-944-0037 Fax: 443-210-2473 | |
Mr. Michael Thomas Palenchar, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 547 B Riverside Drive, Palenchar Physical Therapy & Performance Center, Salisbury, MD 21801 Phone: 410-572-5702 Fax: 410-572-5703 | |
Salisbury Physical Therapy & Sportsmedicine Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 949 Mount Hermon Rd, Salisbury, MD 21804 Phone: 410-543-9000 Fax: 410-543-9033 |