Kaitlyn Weatherby, PT, DPT | |
1500 Almonesson Rd Ste 7, Deptford, NJ 08096-5260 | |
(856) 352-0621 | |
Not Available |
Full Name | Kaitlyn Weatherby |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1500 Almonesson Rd Ste 7, Deptford, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407556228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA02154700 (New Jersey) | Primary |
Provider Name | Ipta Clinical, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1760764484 PECOS PAC ID: 0749456119 Enrollment ID: O20120106000040 |
Mailing Address | Practice Location Address |
---|---|
Kaitlyn Weatherby, PT, DPT 220 Salina Rd, Sewell, NJ 08080-4100 Ph: (856) 952-5223 | Kaitlyn Weatherby, PT, DPT 1500 Almonesson Rd Ste 7, Deptford, NJ 08096-5260 Ph: (856) 352-0621 |
Mr. Joseph Benjamin Mcdivitt, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1652 Cooper Street, Deptford, NJ 08096 Phone: 856-227-5312 Fax: 856-227-5716 | |
Mr. Rommel Pazziuagan Casibang, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 Molly Pitcherway, Deptford, NJ 08096 Phone: 856-845-7272 | |
Wendy Novick, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1280 Almonesson Road, Deptford, NJ 08096 Phone: 856-345-1402 | |
Rebecca Mccammitt, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1280 Almonesson Rd, Deptford, NJ 08096 Phone: 856-345-1401 Fax: 856-805-9370 |