Jerome James Deriso, MPT | |
1865 Route 30, Ligonier, PA 15658-8515 | |
(724) 238-9185 | |
(724) 238-9186 |
Full Name | Jerome James Deriso |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 32 Years |
Location | 1865 Route 30, Ligonier, 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 |
---|---|---|---|
1689728867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT008042L (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Diamond Physical Therapy | 9537237904 | 2 |
Provider Name | Diamond Physical Therapy |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891880001 PECOS PAC ID: 9537237904 Enrollment ID: O20081013000257 |
Mailing Address | Practice Location Address |
---|---|
Jerome James Deriso, MPT 1865 Route 30, Ligonier, PA 15658-8515 Ph: () - | Jerome James Deriso, MPT 1865 Route 30, Ligonier, PA 15658-8515 Ph: (724) 238-9185 |
Orlando Daniel Harvard, Physical Therapist Medicare: Medicare Enrolled Practice Location: 117 W Wellington Aly, Ligonier, PA 15658 Phone: 724-995-8815 Fax: 724-441-4010 | |
Lauren Heiple, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 352 Railroad St, Ligonier, PA 15658 Phone: 724-238-6660 Fax: 724-238-3010 | |
Janell F Emery-smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 W Wellington Aly, Ligonier, PA 15658 Phone: 724-995-8815 | |
Tammy Kedzierski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 352 Railroad Street, Ligonier, PA 15658 Phone: 724-238-6660 | |
Adam Dematteo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 117 W Wellington Aly, Ligonier, PA 15658 Phone: 724-995-8815 | |
Rebecca L Puskar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 W Wellington Aly, Ligonier, PA 15658 Phone: 724-850-6933 Fax: 724-522-4022 | |
Kimberly Metzger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 W Wellington Aly, Ligonier, PA 15658 Phone: 724-995-8815 |