Lagrange Physical Therapy is a medicare enrolled "Physical Therapist" provider in La Grangeville, New York. Their current practice location is
1100 Route 55, Suite 101, La Grangeville, New York. You can reach out to their office (for appointments etc.) via phone at
(845) 471-2423.
Lagrange Physical Therapy is licensed to practice in New York (license number 018803-1) and it also participates in the medicare program. Lagrange Physical Therapy
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1164448049.
Healthcare Provider's Profile
Full Name | Lagrange Physical Therapy |
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Type | Facility |
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Speciality | Physical Therapist |
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Location | 1100 Route 55, La Grangeville, New York |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164448049
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 03/13/2009
Medicare PECOS Information:
- PECOS PAC ID: 1759272883
- Enrollment ID: O20040320000127
Medical Identifiers
Medical identifiers for Lagrange Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164448049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 016283-1 (New York) | Secondary |
225100000X | Physical Therapist | 018803-1 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lagrange Physical Therapy acts as a billing entity for following providers:
Provider Name | John E Burk |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1154419216 PECOS PAC ID: 2163588310 Enrollment ID: I20111020000512 |
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Provider Name | Frederick J Dibernardo |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1861580938 PECOS PAC ID: 9436215688 Enrollment ID: I20111109000146 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lagrange Physical Therapy is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lagrange Physical Therapy 1100 Route 55, Suite 101, La Grangeville, NY 12540 Ph: (845) 471-2423 | Lagrange Physical Therapy 1100 Route 55, Suite 101, La Grangeville, NY 12540 Ph: (845) 471-2423 |
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