Max Ryan Demartino, DPT | |
168 Denslow Rd, East Longmeadow, MA 01028-3188 | |
(413) 526-9924 | |
(413) 526-9961 |
Full Name | Max Ryan Demartino |
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Gender | Male |
Speciality | Physical Therapist |
Location | 168 Denslow Rd, East Longmeadow, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346958543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 012906 (Connecticut) | Primary |
Provider Name | Performance Rehabilitation Of Western New England Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1710919063 PECOS PAC ID: 7911979950 Enrollment ID: O20040810000712 |
Mailing Address | Practice Location Address |
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Max Ryan Demartino, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (866) 370-8206 | Max Ryan Demartino, DPT 168 Denslow Rd, East Longmeadow, MA 01028-3188 Ph: (413) 526-9924 |
Jennifer Salemi, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Chestnut St, East Longmeadow, MA 01028 Phone: 413-525-1893 | |
Pamela Leclair, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 45 Crane Ave, East Longmeadow, MA 01028 Phone: 413-525-7813 | |
James Biron, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Denslow Rd, East Longmeadow, MA 01028 Phone: 413-526-9969 Fax: 413-526-9960 | |
Megan L Wiedler, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 168 Denslow Rd, East Longmeadow, MA 01028 Phone: 413-526-9924 Fax: 413-529-9961 | |
Mrs. Danielle Elizabeth Brunelle, MPT, LATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 168 Denslow Rd, East Longmeadow, MA 01028 Phone: 413-526-9969 Fax: 413-526-9960 | |
Donna Durocher, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 168 Denslow Road, East Longmeadow, MA 01028 Phone: 413-526-9924 Fax: 413-526-9961 | |
Lauren Downes, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 168 Denslow Rd, East Longmeadow, MA 01028 Phone: 413-526-9924 Fax: 413-526-9961 |