Jordan Elizabeth Prutzer, DPT | |
2160 Sandy Dr Ste A, State College, PA 16803-2205 | |
(814) 861-8122 | |
(814) 861-4292 |
Full Name | Jordan Elizabeth Prutzer |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2160 Sandy Dr Ste A, State College, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225647027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | PT031772 (Pennsylvania) | Primary |
Provider Name | Mount Nittany Medical Center Health Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164691499 PECOS PAC ID: 8426136797 Enrollment ID: O20081021000240 |
Mailing Address | Practice Location Address |
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Jordan Elizabeth Prutzer, DPT 2160 Sandy Dr Ste A, State College, PA 16803-2205 Ph: (814) 261-8122 | Jordan Elizabeth Prutzer, DPT 2160 Sandy Dr Ste A, State College, PA 16803-2205 Ph: (814) 861-8122 |
Easter Seals Central Pa Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 383 Rolling Ridge Dr, State College, PA 16801 Phone: 814-689-1911 | |
Heather B Walker, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2160 Sandy Dr, Ste A, State College, PA 16803 Phone: 814-861-8122 Fax: 814-861-4292 | |
Lindsey R Chura, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2160 Sandy Dr, Ste A, State College, PA 16803 Phone: 814-861-8122 Fax: 814-861-4292 | |
Kathryn Sherril Nieman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 177 Champion Dr Ste 100, State College, PA 16803 Phone: 814-238-3485 Fax: 814-692-2272 | |
Andrew J Renaud, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1850 E Park Ave, Suite 112, State College, PA 16803 Phone: 814-865-3566 Fax: 814-235-2492 | |
Brian W Schulz, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1850 E Park Ave, Ste 112, State College, PA 16803 Phone: 800-243-1455 Fax: 814-863-7803 | |
James K. Roche, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 805 S Atherton St, Suite 103, State College, PA 16801 Phone: 814-278-1912 Fax: 814-278-1921 |