Ian Lewis Wissick, PT, DPT | |
3 West Ave, Le Roy, NY 14482-1381 | |
(585) 768-4550 | |
(585) 768-2335 |
Full Name | Ian Lewis Wissick |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3 West Ave, Le Roy, 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 |
---|---|---|---|
1477281863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 049084 (New York) | Primary |
Provider Name | Leroy Physical Therapy And Athletic Training, Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1154475739 PECOS PAC ID: 4587701479 Enrollment ID: O20091026000527 |
Mailing Address | Practice Location Address |
---|---|
Ian Lewis Wissick, PT, DPT 3 West Ave, Le Roy, NY 14482-1381 Ph: (585) 347-0202 | Ian Lewis Wissick, PT, DPT 3 West Ave, Le Roy, NY 14482-1381 Ph: (585) 768-4550 |
Mrs. Barbara Marie Bellamy, P.T., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 West Ave, Le Roy, NY 14482 Phone: 585-768-4550 Fax: 585-768-2335 | |
Jamie Elise Mazza, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3 West Ave, Le Roy, NY 14482 Phone: 585-768-4550 | |
Linda Grinstead, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 West Ave, Le Roy, NY 14482 Phone: 585-768-4550 Fax: 585-768-2335 | |
Katelyn Joy Berger, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 West Ave, Le Roy, NY 14482 Phone: 585-768-4550 Fax: 585-768-2335 | |
Mrs. Gail A Welsh, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8988 Asbury Rd, Le Roy, NY 14482 Phone: 585-768-9647 | |
Mr. Eric L Gahagan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 West Avenue, Le Roy, NY 14482 Phone: 585-768-4550 Fax: 585-768-2335 |