| Leisure Physical Therapy Pc | |
|
6144 Route 25a Ste 13, Wading River, NY 11792-2008 | |
| (631) 804-9410 | |
| (631) 345-8919 |
| Full Name | Leisure Physical Therapy Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 6144 Route 25a Ste 13, Wading River, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083884944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 016275-1 (New York) | Primary |
| Provider Name | Scott L Paskiewicz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477605632 PECOS PAC ID: 8224022272 Enrollment ID: I20040413000151 |
| Provider Name | Marileni Brisita |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083154363 PECOS PAC ID: 1456638139 Enrollment ID: I20170505001414 |
| Provider Name | Devon Kuntzsch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891332102 PECOS PAC ID: 8325469935 Enrollment ID: I20200608002167 |
| Provider Name | Yi-hsiang Wang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255934717 PECOS PAC ID: 0345651048 Enrollment ID: I20201202001085 |
| Mailing Address | Practice Location Address |
|---|---|
| Leisure Physical Therapy Pc 6 Sweetberry Ave, Center Moriches, NY 11934-1417 Ph: (631) 804-9410 | Leisure Physical Therapy Pc 6144 Route 25a Ste 13, Wading River, NY 11792-2008 Ph: (631) 804-9410 |
Mr. William Jantzen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5958 Route 25a, Wading River, NY 11792 Phone: 631-929-8200 Fax: 631-929-8228 | |
Mr. Daniel Bauman, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 5958 Route 25a, Wading River, NY 11792 Phone: 631-929-8200 | |
Wading River Physical Therapy, Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 5958 Route 25a, Wading River, NY 11792 Phone: 631-929-8200 Fax: 631-929-8228 | |
Professional Orthopedic And Sports Physical Therapy, P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6144 Route 25a, Suite 14, Wading River, NY 11792 Phone: 631-929-3277 | |
Mr. Daniel Joseph Pierce, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Cherry Ln, Wading River, NY 11792 Phone: 631-929-3431 | |
Ms. Linda M Mango, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 20 Farm Rd E, Wading River, NY 11792 Phone: 631-929-5737 |