| Isaiah Jensen Pominville, PT, DPT | |
|
37 W Garden St Ste 103, Auburn, NY 13021-2663 | |
| (315) 800-0030 | |
| Not Available |
| Full Name | Isaiah Jensen Pominville |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 37 W Garden St Ste 103, Auburn, 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 |
|---|---|---|---|
| 1144056870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 052561 (New York) | Primary |
| Provider Name | Sports Physical Therapy Of New York, P.c. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1912950072 PECOS PAC ID: 4284531674 Enrollment ID: O20150203001143 |
| Mailing Address | Practice Location Address |
|---|---|
| Isaiah Jensen Pominville, PT, DPT 703 Granite St Ste 3, Braintree, MA 02184-5350 Ph: (781) 961-3370 | Isaiah Jensen Pominville, PT, DPT 37 W Garden St Ste 103, Auburn, NY 13021-2663 Ph: (315) 800-0030 |
Mr. James M Connelly, P.T., D.P.T.,CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 278 Genesee St, Auburn, NY 13021 Phone: 315-282-0067 | |
Dr. Lane L. Duger, PT, DPT, GCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 Saint Anthony St, Auburn, NY 13021 Phone: 315-253-0351 | |
Kenneth David Rescott, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 37 W Garden St, Suite 103, Auburn, NY 13021 Phone: 315-252-8112 | |
Dr. Benjamin Saya, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17 Lansing St, Auburn, NY 13021 Phone: 315-415-2959 | |
Dr. Douglas Fye, P.T., D.P.T., O.C.S. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17 Lansing St, Auburn, NY 13021 Phone: 315-255-7440 Fax: 315-255-7051 | |
Colleen A Amedro, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 182 North St, Auburn, NY 13021 Phone: 315-255-2746 Fax: 315-255-2740 |