Kenneth Christopher Paz, DPT | |
5479 Pottsville Pike, Suite 200, Leesport, PA 19533-8650 | |
(610) 926-6778 | |
(610) 926-7200 |
Full Name | Kenneth Christopher Paz |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 5479 Pottsville Pike, Leesport, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174076400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT025511 (Pennsylvania) | Primary |
Provider Name | Hr Physician Services |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1730650151 PECOS PAC ID: 0042109902 Enrollment ID: O20190312002859 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Christopher Paz, DPT 415 36th St, Suite 100, Parkersburg, WV 26101-1005 Ph: (304) 917-3660 | Kenneth Christopher Paz, DPT 5479 Pottsville Pike, Suite 200, Leesport, PA 19533-8650 Ph: (610) 926-6778 |
Gabrielle Freed, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5479 Pottsville Pike Ste 200, Leesport, PA 19533 Phone: 610-926-6778 | |
Kathryn E Mitten, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1011 Berks Road, Leesport, PA 19533 Phone: 610-376-4841 | |
Kristin Waldrop, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 291 Kindt Corner Rd, Leesport, PA 19533 Phone: 606-209-3185 | |
Brady Fidler, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 James Dr Ste A14, Leesport, PA 19533 Phone: 484-671-2065 Fax: 484-671-2354 | |
Mr. Stephen Gregg Decker, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5479 Pottsville Pike, Suite 200, Leesport, PA 19533 Phone: 610-926-6778 Fax: 610-926-7200 | |
Dr. Steven Roughton, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1011 Berk Rd, Leesport, PA 19533 Phone: 610-376-4841 |