| Llc | |
|
127 E 1st St, Oswego, NY 13126-2104 | |
| (315) 207-2222 | |
| (315) 343-6923 |
| Full Name | Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 127 E 1st St, Oswego, 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 |
|---|---|---|---|
| 1942380969 | NPI | - | NPPES |
| 5212370001 | Other | NY | MEDICARE NSC PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225200000X | Physical Therapy Assistant | (* (Not Available)) | Secondary |
| Provider Name | Michele R King |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659304426 PECOS PAC ID: 3274632278 Enrollment ID: I20070615000101 |
| Provider Name | Sheryll Dela Cruz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598929085 PECOS PAC ID: 7214125905 Enrollment ID: I20101222000303 |
| Provider Name | Jason A Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194044479 PECOS PAC ID: 3274822697 Enrollment ID: I20160525000090 |
| Provider Name | William T Delfing |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316340383 PECOS PAC ID: 5890053946 Enrollment ID: I20171218002736 |
| Provider Name | Shellie Taylor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467876334 PECOS PAC ID: 0446505101 Enrollment ID: I20180620002151 |
| Provider Name | Troy Norton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639886294 PECOS PAC ID: 7315316411 Enrollment ID: I20221213000162 |
| Mailing Address | Practice Location Address |
|---|---|
| Llc 127 E 1st St, Oswego, NY 13126-2104 Ph: (315) 207-2222 | Llc 127 E 1st St, Oswego, NY 13126-2104 Ph: (315) 207-2222 |
Katherine Price, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
Marie Reyes-julian, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 W 6th St, 140, Oswego, NY 13126 Phone: 315-349-5558 Fax: 315-349-5652 | |
Mr. Wai-cheuk Richard Kung, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 W 6th St, Oswego, NY 13126 Phone: 315-349-5558 | |
Mrs. Abbey Gale Dela Cruz Bautista, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
Mr. Rex Fujiwara, MPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
Mrs. Sandra J Guenter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 West Sixth Street, Suite 140, Oswego, NY 13126 Phone: 315-594-2450 | |
Dr. Sarka Prada Coomber, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 364 East Ave, Oswego, NY 13126 Phone: 315-326-0056 Fax: 315-326-0102 |