Kennedy Amber Young, | |
156 Nj-15 N, Lafayette, NJ 07848 | |
(646) 841-1400 | |
Not Available |
Full Name | Kennedy Amber Young |
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Gender | Female |
Speciality | Physical Therapist |
Location | 156 Nj-15 N, Lafayette, 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 |
---|---|---|---|
1699356980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251P0200X | Physical Therapist - Pediatrics | 40QA01994100 (New Jersey) | Secondary |
225100000X | Physical Therapist | 047085 (New York) | Primary |
Provider Name | Spear Physical And Occupational Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063454577 PECOS PAC ID: 6901832112 Enrollment ID: O20050711000390 |
Mailing Address | Practice Location Address |
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Kennedy Amber Young, 307 5th Ave Fl 6, New York, NY 10016-6575 Ph: () - | Kennedy Amber Young, 156 Nj-15 N, Lafayette, NJ 07848 Ph: (646) 841-1400 |
Ms. Doriskay Monroe, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 156 State Route 15, Lafayette, NJ 07848 Phone: 973-862-6377 | |
Shauna Menzella, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 156 State Route 15, Lafayette, NJ 07848 Phone: 973-862-6377 | |
Tara Austine Perretta, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 73 Mulford Rd., Andover Subacute And Rehab, Lafayette, NJ 07848 Phone: 973-383-6200 | |
Jennifer Moore, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 156 State Route 15, Lafayette, NJ 07848 Phone: 973-862-6377 | |
Anne Marie Collum, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 156 State Route 15, Lafayette, NJ 07848 Phone: 973-862-6377 | |
Damon Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 156 State Route 15, Lafayette, NJ 07848 Phone: 973-862-6377 Fax: 973-862-6379 | |
Jessica Takacs, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 49 Mulford Rd, Lafayette, NJ 07848 Phone: 862-268-5800 |