Karen S Widdoes, PT, MDT | |
4102 Ogletown Stanton Rd, Newark, DE 19713-4169 | |
(302) 894-1800 | |
(302) 894-1811 |
Full Name | Karen S Widdoes |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 4102 Ogletown Stanton Rd, Newark, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215979703 | NPI | - | NPPES |
1000038044 | Medicaid | DE | |
336345 | Other | MAMSI | |
PT008698E | Other | PA | PA LICENSE |
0682261000 | Other | PA | AMERIHEALTH/IBC |
J10000289 | Other | DE | DE LICENSE |
0682261000 | Other | AMERIHEALTH IBC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | J10000289 (Delaware) | Primary |
225100000X | Physical Therapist | PT008698E (Pennsylvania) | Secondary |
Provider Name | Ati Holdings Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061101000380 |
Provider Name | The Back Clinic, Inc. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1275513368 PECOS PAC ID: 9739274846 Enrollment ID: O20071004000652 |
Mailing Address | Practice Location Address |
---|---|
Karen S Widdoes, PT, MDT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Karen S Widdoes, PT, MDT 4102 Ogletown Stanton Rd, Newark, DE 19713-4169 Ph: (302) 894-1800 |
Ashlie Artz, PT, DPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 1501 Casho Mill Rd, Newark, DE 19711 Phone: 302-453-1588 | |
Samantha D Vargas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 540 S College Ave Ste 160, Newark, DE 19713 Phone: 302-831-8893 Fax: 302-831-4468 | |
Miss Madison Lee Strickland, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4051 Ogletown Rd Ste 202a, Newark, DE 19713 Phone: 302-607-6222 Fax: 302-292-1907 | |
Karen Day, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2717 Pulaski Hwy, Newark, DE 19702 Phone: 302-292-3454 Fax: 302-292-3464 | |
Dawn Delledonne, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Tyre Ave, Newark, DE 19711 Phone: 302-454-2047 | |
Ann Duch, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Hygeia Dr, Pt Plus, Newark, DE 19713 Phone: 302-623-0390 Fax: 302-623-0393 | |
Marie Mullen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4102 Ogletown Stanton Rd, Newark, DE 19713 Phone: 302-894-1800 Fax: 302-894-1811 |