John Kielbasa, | |
417 Grow Ave, Montrose, PA 18801-1105 | |
(570) 278-1101 | |
(570) 278-1102 |
Full Name | John Kielbasa |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 417 Grow Ave, Montrose, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487375846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 29093 (Maryland) | Secondary |
225100000X | Physical Therapist | PT031336 (Pennsylvania) | Primary |
Provider Name | Ati Holdings Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20140610001109 |
Mailing Address | Practice Location Address |
---|---|
John Kielbasa, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | John Kielbasa, 417 Grow Ave, Montrose, PA 18801-1105 Ph: (570) 278-1101 |
Krista Rebuck, PT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 417 Grow Ave, Montrose, PA 18801 Phone: 570-278-1101 | |
Ethan Dinan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 417 Grow Ave, Montrose, PA 18801 Phone: 570-278-1101 Fax: 570-278-1102 | |
Doreen Fisher, P. T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Park St, Montrose, PA 18801 Phone: 570-278-0113 | |
Jacob Anthony Schweiger, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 417 Grow Ave, Montrose, PA 18801 Phone: 570-278-1101 | |
Charles Alan Burpee, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 417 Grow Ave, Montrose, PA 18801 Phone: 570-278-1101 Fax: 570-278-1102 | |
Emily Maggiore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 417 Grow Ave, Montrose, PA 18801 Phone: 570-278-1101 Fax: 570-278-1102 |