Motive Sports And Physical Therapy Malvern, Llc | |
480 Lancaster Ave Ste 4, Frazer, PA 19355-1834 | |
(610) 500-5296 | |
(484) 359-0098 |
Full Name | Motive Sports And Physical Therapy Malvern, Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 480 Lancaster Ave Ste 4, Frazer, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1871354159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Gregory Masiko |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699773960 PECOS PAC ID: 5698759595 Enrollment ID: I20040617000473 |
Provider Name | Meryl Goldstein |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578561452 PECOS PAC ID: 1355310244 Enrollment ID: I20040928000502 |
Provider Name | Michael Groh |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215960281 PECOS PAC ID: 8325060270 Enrollment ID: I20051220000890 |
Provider Name | Jennifer Lee O'gara |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124132212 PECOS PAC ID: 0547264855 Enrollment ID: I20060829000159 |
Provider Name | Mark Worrilow |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689073207 PECOS PAC ID: 0840410437 Enrollment ID: I20141002000754 |
Provider Name | Tyler W Hastings |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619647351 PECOS PAC ID: 8628475324 Enrollment ID: I20210922003766 |
Provider Name | Kristen Konieczny |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134870579 PECOS PAC ID: 4688068711 Enrollment ID: I20220307000059 |
Provider Name | Elizabeth D'ginto |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538842604 PECOS PAC ID: 8123481173 Enrollment ID: I20230824000890 |
Mailing Address | Practice Location Address |
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Motive Sports And Physical Therapy Malvern, Llc 540 Hopewell St, Birdsboro, PA 19508-2657 Ph: (610) 500-5296 | Motive Sports And Physical Therapy Malvern, Llc 480 Lancaster Ave Ste 4, Frazer, PA 19355-1834 Ph: (610) 500-5296 |