Laurel Pettit, DPT | |
1895 Walt Whitman Rd, Melville, NY 11747-3031 | |
(631) 577-3400 | |
(631) 577-3409 |
Full Name | Laurel Pettit |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1895 Walt Whitman Rd, Melville, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316586100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 031178 (New York) | Primary |
Provider Name | The Traveling Physical Therapist |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1750847752 PECOS PAC ID: 6103169933 Enrollment ID: O20190520001352 |
Mailing Address | Practice Location Address |
---|---|
Laurel Pettit, DPT 1895 Walt Whitman Rd, Melville, NY 11747-3031 Ph: (631) 577-3400 | Laurel Pettit, DPT 1895 Walt Whitman Rd, Melville, NY 11747-3031 Ph: (631) 577-3400 |
S.e.a.p.t., Llp Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 713 Walt Whitman Rd, Suite B, Melville, NY 11747 Phone: 631-425-5900 Fax: 631-424-9850 | |
Amanda Censoprano, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1895 Walt Whitman Rd, Melville, NY 11747 Phone: 631-577-3400 | |
Joseph P. Keating Ii, P.T., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 713 Walt Whitman Rd, Suite B, Melville, NY 11747 Phone: 631-425-5900 Fax: 631-424-9850 | |
Thomas E Costello, M.D. Physical Therapist Medicare: Medicare Enrolled Practice Location: 150 Broadhollow Rd Ste 120, Melville, NY 11747 Phone: 631-450-1400 | |
Rehabpro Physical Therapy, Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 560 Broadhollow Rd Ste 304, Melville, NY 11747 Phone: 516-222-2010 Fax: 516-222-2011 | |
Allison Rose Mcnamara, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 576 Broadhollow Rd, Melville, NY 11747 Phone: 631-359-5780 | |
Mr. Darren J. Weidenman, P.T., M.A. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 713 Walt Whitman Rd, Suite B, Melville, NY 11747 Phone: 631-425-5900 Fax: 631-424-9850 |