Matthew Whaley, PT | |
30214 Sussex Hwy Unit 4b, Laurel, DE 19956-3880 | |
(302) 875-8640 | |
Not Available |
Full Name | Matthew Whaley |
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Gender | Male |
Speciality | Physical Therapist |
Location | 30214 Sussex Hwy Unit 4b, Laurel, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265166680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | J1-0014703 (Delaware) | Primary |
Provider Name | Shore Therapy Solutions, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1649932104 PECOS PAC ID: 8820486848 Enrollment ID: O20211025002065 |
Mailing Address | Practice Location Address |
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Matthew Whaley, PT Po Box 392573, Pittsburgh, PA 15251-9500 Ph: () - | Matthew Whaley, PT 30214 Sussex Hwy Unit 4b, Laurel, DE 19956-3880 Ph: (302) 875-8640 |
Miss Christeen Baguilat Solang, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 S Central Ave, Laurel, DE 19956 Phone: 302-280-6953 Fax: 302-715-5001 | |
Lorna Kredell, Physical Therapist Medicare: Medicare Enrolled Practice Location: 404 E Front St, Laurel, DE 19956 Phone: 302-280-6920 Fax: 302-280-6921 | |
Mr. Metodio Amahit Pamplona Jr., P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 404 E Front St, Laurel, DE 19956 Phone: 302-280-6920 Fax: 302-280-6921 | |
Myungsung Ko, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 404 E Front St, Laurel, DE 19956 Phone: 302-280-6920 | |
Patricia Petrecca, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 S Central Avenue, Laurel, DE 19956 Phone: 302-280-6953 Fax: 302-280-5001 | |
Phoenix Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30214 Sussex Hwy Unit 4b, Laurel, DE 19956 Phone: 302-875-8640 Fax: 302-875-8642 |