Jessie Lynn Main, PT, DPT | |
92 Shortwoods Rd, New Fairfield, CT 06812-3216 | |
(203) 496-6257 | |
Not Available |
Full Name | Jessie Lynn Main |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 5 Years |
Location | 92 Shortwoods Rd, New Fairfield, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306593561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 046619 (New York) | Secondary |
225100000X | Physical Therapist | 13470 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fox Rehab Pt Ct, Llc | 8820235575 | 58 |
Provider Name | Fox Rehab Pt Ct, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1245584234 PECOS PAC ID: 8820235575 Enrollment ID: O20130516000426 |
Mailing Address | Practice Location Address |
---|---|
Jessie Lynn Main, PT, DPT 92 Shortwoods Rd, New Fairfield, CT 06812-3216 Ph: (203) 496-6257 | Jessie Lynn Main, PT, DPT 92 Shortwoods Rd, New Fairfield, CT 06812-3216 Ph: (203) 496-6257 |
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