Matthew Petrovich, DPT | |
3 Federal Rd Ste 100, Brookfield, CT 06804-2505 | |
(203) 456-1010 | |
(203) 456-1011 |
Full Name | Matthew Petrovich |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 5 Years |
Location | 3 Federal Rd Ste 100, Brookfield, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619516226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 14185 (Connecticut) | Secondary |
225100000X | Physical Therapist | 045034-01 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivyrehab Connecticut Inc | 8325203649 | 48 |
Provider Name | Ivyrehab Connecticut Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1265799365 PECOS PAC ID: 8325203649 Enrollment ID: O20120711000223 |
Mailing Address | Practice Location Address |
---|---|
Matthew Petrovich, DPT Po Box 77, Chittenango, NY 13037-0077 Ph: (315) 510-3372 | Matthew Petrovich, DPT 3 Federal Rd Ste 100, Brookfield, CT 06804-2505 Ph: (203) 456-1010 |
Alessandra Elisa Ferraro, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3 Federal Rd Ste 100, Brookfield, CT 06804 Phone: 914-265-4838 | |
Francis X Dunne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Federal Rd Ste 109, Brookfield, CT 06804 Phone: 203-775-5555 Fax: 203-775-0782 | |
Gregory M Schiller, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 60 Old New Milford Rd Ste 2a, Brookfield, CT 06804 Phone: 203-350-6999 Fax: 203-350-6998 | |
Mrs. Gina Marie Bradbury, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 195 Federal Rd Ste 6, Brookfield, CT 06804 Phone: 203-546-8648 | |
Courtney Nissel, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3 Federal Rd Ste 100, Brookfield, CT 06804 Phone: 203-456-1010 | |
Jacqueline Brett, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 60 Old New Milford Rd Ste 2a, Brookfield, CT 06804 Phone: 203-350-6999 Fax: 203-408-6726 | |
Mr. Richard E. Carlson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31 Old Route 7, Brookfield, CT 06804 Phone: 203-740-0020 Fax: 203-740-7354 |