Jonathan T Small Physical Therapy Pllc | |
316 East State Street, Herkimer, NY 13350-2026 | |
(315) 794-8530 | |
Not Available |
Full Name | Jonathan T Small Physical Therapy Pllc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 316 East State Street, Herkimer, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861928020 | NPI | - | NPPES |
039368-1 | Other | NY | NYS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 039368-1 (New York) | Primary |
Provider Name | Jonathan T Small |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639518053 PECOS PAC ID: 2567692379 Enrollment ID: I20151125001258 |
Provider Name | Jenna Mazza |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922762145 PECOS PAC ID: 1355732868 Enrollment ID: I20211216002148 |
Mailing Address | Practice Location Address |
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Jonathan T Small Physical Therapy Pllc 316 East State Street, Herkimer, NY 13350-2026 Ph: () - | Jonathan T Small Physical Therapy Pllc 316 East State Street, Herkimer, NY 13350-2026 Ph: (315) 794-8530 |
Blase Thomas Pachura, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3061 State Route 28, Herkimer, NY 13350 Phone: 315-717-0020 | |
Shawna Marmet, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3061 State Route 28, Herkimer, NY 13350 Phone: 315-717-0020 | |
Sheila M Burth, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 419 N Main St, Herkimer, NY 13350 Phone: 315-717-0278 Fax: 315-717-0280 | |
Jared Tripoli, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3061 State Route 28, Herkimer, NY 13350 Phone: 315-717-0022 Fax: 315-717-0024 | |
Rebekah Jean Sirtoli White, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3061 State Route 28, Herkimer, NY 13350 Phone: 315-717-0020 Fax: 315-717-0024 | |
Daniel N Curri, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 152 N Main St, Herkimer, NY 13350 Phone: 315-717-0020 Fax: 315-717-0024 | |
Tom Woznica, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3061 State Route 28, Herkimer, NY 13350 Phone: 315-717-0020 Fax: 315-717-0024 |