Jeffrey Frail, DPT | |
313 S Main St, Old Forge, PA 18518-1606 | |
(570) 451-1122 | |
(570) 451-0541 |
Full Name | Jeffrey Frail |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 313 S Main St, Old Forge, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447391545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT009722L (Pennsylvania) | Primary |
Provider Name | Fcc Enterprises Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952370835 PECOS PAC ID: 8426960386 Enrollment ID: O20050329000764 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Frail, DPT 17 Marlborough Ave., Wilkes-barre, PA 18702 Ph: (570) 829-2382 | Jeffrey Frail, DPT 313 S Main St, Old Forge, PA 18518-1606 Ph: (570) 451-1122 |
Mr. Anthony J Grasso Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 S Main St, Old Forge, PA 18518 Phone: 570-457-4099 | |
Mr. Bernard Joseph Povanda, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 S Main St, Old Forge, PA 18518 Phone: 570-457-4099 Fax: 570-457-7225 | |
Mrs. Lynn Ann Winter, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 S Main St, Old Forge, PA 18518 Phone: 570-457-4099 Fax: 570-457-7205 | |
James M Minella, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12 Oakwood Dr, Old Forge, PA 18518 Phone: 570-498-3546 | |
Lisa Ann Pastore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 168 Bianca Way, Old Forge, PA 18518 Phone: 570-468-2509 | |
Ms. Kristina Grande, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Cheyenne Dr, Old Forge, PA 18518 Phone: 570-357-2887 |