Jason A Malavolta, PT | |
900 West Baltimore Pike, Suite 103, West Grove, PA 19390 | |
(610) 869-2200 | |
Not Available |
Full Name | Jason A Malavolta |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 17 Years |
Location | 900 West Baltimore Pike, West Grove, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457530537 | NPI | - | NPPES |
94266301 | Other | CARE FIRST OF MD | |
1457530537 | Other | CHAMPUS TRICARE | |
5070-0104 | Other | GHMSI | |
1457530537 | Other | IBC AMERIHEALTH | |
2045293 | Other | PABS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT019017 (Pennsylvania) | Primary |
225100000X | Physical Therapist | J10002349 (Delaware) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ati Holdings Llc | 9537112719 | 366 |
Provider Name | Ati Holdings Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20060727000214 |
Mailing Address | Practice Location Address |
---|---|
Jason A Malavolta, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Jason A Malavolta, PT 900 West Baltimore Pike, Suite 103, West Grove, PA 19390 Ph: (610) 869-2200 |
Karen Hopkins, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 206 N Jennersville Rd Ste 100, West Grove, PA 19390 Phone: 484-667-8295 Fax: 484-727-4866 | |
Nicole Angela Karakasis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Vineyard Way Ste 100, West Grove, PA 19390 Phone: 610-869-5792 Fax: 610-869-5795 | |
Leigh A Manning-smith, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Vineyard Way Ste 100, West Grove, PA 19390 Phone: 610-869-5792 Fax: 610-869-5792 | |
Simpson Therapy Services, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Sycamore Dr, West Grove, PA 19390 Phone: 610-869-6768 | |
Mr. Jason Jack Guarneri, MPT, SCS, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 W Baltimore Pike, Suite 103, West Grove, PA 19390 Phone: 610-869-2200 Fax: 610-869-2311 | |
Eric Fetterman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Vineyard Way, Suite 100, West Grove, PA 19390 Phone: 610-869-5792 Fax: 610-869-5795 | |
David Martens Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 W Baltimore Pike, Suite 103, West Grove, PA 19390 Phone: 610-869-2200 Fax: 610-869-2311 |