| Jeanette Brianne Miller, | |
| 
					12120 Route 30, North Huntingdon, PA 15642-1840  | |
| (724) 864-4155 | |
| (724) 864-4659 | 
| Full Name | Jeanette Brianne Miller | 
|---|---|
| Gender | Female | 
| Speciality | Physical Therapist | 
| Location | 12120 Route 30, North Huntingdon, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417193186 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | PT019674 (Pennsylvania) | Primary | 
| Provider Name | East Suburban Sports Medicine Center Ltd | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1750384988 PECOS PAC ID: 6901708890 Enrollment ID: O20230503002379  | 
| Provider Name | East Suburban Sports Medicine Center Lp | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1730925538 PECOS PAC ID: 6507306909 Enrollment ID: O20240912001034  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jeanette Brianne Miller, 12120 Route 30, North Huntingdon, PA 15642-1840 Ph: (724) 864-4155  | Jeanette Brianne Miller, 12120 Route 30, North Huntingdon, PA 15642-1840 Ph: (724) 864-4155  | 
John Michael Feher, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12120 Route 30, North Huntingdon, PA 15642 Phone: 724-864-4155  | |
David R Reynolds, MHS, PT, ACS, SCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 40 Lincoln Way, Norwin Professional Building, North Huntingdon, PA 15642 Phone: 724-863-8681 Fax: 724-863-1526  | |
Dr. Joel Joseph Antonucci, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12116 Route 30, North Huntingdon, PA 15642 Phone: 724-382-5626 Fax: 724-382-5627  | |
Mrs. Catharine Merritt Dixon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11400 Carroll Street St, North Huntingdon, PA 15642 Phone: 724-864-3803  | |
Betsy Park, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 249 Maus Dr, North Huntingdon, PA 15642 Phone: 724-863-9118 Fax: 724-863-8334  | |
Mrs. Carla Miller Lowman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13898 Route 30, North Huntingdon, PA 15642 Phone: 724-861-6001 Fax: 724-861-9155  |