Kelsey Jurist Busch, PT, DPT | |
3400 Lancaster Ave Ste 4, Philadelphia, PA 19104-7209 | |
(215) 662-0397 | |
(215) 386-2349 |
Full Name | Kelsey Jurist Busch |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 3400 Lancaster Ave Ste 4, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528584174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA01749000 (New Jersey) | Secondary |
225100000X | Physical Therapist | PT028488 (Pennsylvania) | Primary |
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: O20060727000214 |
Provider Name | Progress Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1164851085 PECOS PAC ID: 1951530849 Enrollment ID: O20140219001344 |
Mailing Address | Practice Location Address |
---|---|
Kelsey Jurist Busch, PT, DPT 1377 Motor Pkwy Ste 307, Islandia, NY 11749-5258 Ph: (914) 294-4050 | Kelsey Jurist Busch, PT, DPT 3400 Lancaster Ave Ste 4, Philadelphia, PA 19104-7209 Ph: (215) 662-0397 |
Mr. James Blakely, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 E Wadsworth Ave, Unit 1, Philadelphia, PA 19150 Phone: 267-323-2778 Fax: 267-323-2774 | |
Vincent Ngo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 133 W Hunting Park Ave, Philadelphia, PA 19140 Phone: 215-455-5370 | |
Maureen Higgins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 N Independence Mall W, Philadelphia, PA 19106 Phone: 215-413-0600 Fax: 215-413-0684 | |
Jennifer Dekerlegand, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, 1 White Building, Philadelphia, PA 19104 Phone: 215-662-3265 | |
Doriean Broady, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4902 Arch St Unit 1, Philadelphia, PA 19139 Phone: 585-944-7961 | |
Jennifer Anne Ellis, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1923 Bainbridge St, Philadelphia, PA 19146 Phone: 215-469-1832 | |
Katherine Weaver, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3400 Lancaster Ave Ste 4, Philadelphia, PA 19104 Phone: 215-662-0397 |