Justin Jaquette, DPT | |
2 Kacey Ct Ste 102, Mechanicsburg, PA 17055-9230 | |
(717) 591-1807 | |
Not Available |
Full Name | Justin Jaquette |
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Gender | Male |
Speciality | Physical Therapist |
Location | 2 Kacey Ct Ste 102, Mechanicsburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871239756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | (Pennsylvania) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Back In Motion Sport & Spine Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831616416 PECOS PAC ID: 7214294693 Enrollment ID: O20171121000914 |
Mailing Address | Practice Location Address |
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Justin Jaquette, DPT 2000 Westinghouse Dr Ste 200, Cranberry Twp, PA 16066-5238 Ph: (724) 343-4060 | Justin Jaquette, DPT 2 Kacey Ct Ste 102, Mechanicsburg, PA 17055-9230 Ph: (717) 591-1807 |
Clarissa Thurman O'donnell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5108 E Trindle Rd, Suite 200, Mechanicsburg, PA 17050 Phone: 717-790-9920 Fax: 717-790-9923 | |
Daryl K Holstay Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Legend Lane, Mechanicsburg, PA 17050 Phone: 717-620-7100 Fax: 717-620-7102 | |
Cody Powell Frye, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5103 Carlisle Pike, Mechanicsburg, PA 17050 Phone: 717-590-0955 | |
Meghan Goodman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6560 Carlisle Pike Ste 425, Mechanicsburg, PA 17050 Phone: 717-506-5711 | |
Mrs. Paula Ann Johnson, PT, GTC, MBA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Mount Allen Dr, Mechanicsburg, PA 17055 Phone: 717-790-8225 Fax: 717-766-4794 | |
Mr. Jeffrey William Bucci, MPT, ATC, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6108 Carlisle Pike, Mechanicsburg, PA 17050 Phone: 717-591-9118 Fax: 717-591-2787 | |
Karl Bergmann, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5043 Ravenwood Rd, Mechanicsburg, PA 17055 Phone: 757-268-6954 |