Mr Brian D Long, PT/ATC | |
2940 E Banner Gateway Dr Ste 200-250, Gilbert, AZ 85234-2168 | |
(480) 964-2908 | |
(480) 833-2136 |
Full Name | Mr Brian D Long |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 30 Years |
Location | 2940 E Banner Gateway Dr Ste 200-250, Gilbert, Arizona |
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 |
---|---|---|---|
1013925189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 013397 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopedic Specialists Of North America Pllc | 7719014505 | 272 |
Provider Name | Orthopedic Specialists Of North America Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770812828 PECOS PAC ID: 7719014505 Enrollment ID: O20100428000061 |
Mailing Address | Practice Location Address |
---|---|
Mr Brian D Long, PT/ATC Po Box 80217, Phoenix, AZ 85060-0217 Ph: (602) 385-2115 | Mr Brian D Long, PT/ATC 2940 E Banner Gateway Dr Ste 200-250, Gilbert, AZ 85234-2168 Ph: (480) 964-2908 |
Manar Kazar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13839 E Morgan Dr, Gilbert, AZ 85295 Phone: 480-899-0612 | |
Anastasia Schmaltz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3336 E Chandler Heights Rd, Suite 126, Gilbert, AZ 85298 Phone: 480-940-6125 Fax: 480-840-6122 | |
Andrew Ballard, Physical Therapist Medicare: Medicare Enrolled Practice Location: 413 E Tremaine Ave, Gilbert, AZ 85234 Phone: 602-550-4730 | |
John Anthony Volk, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 S Gilbert Rd, Gilbert, AZ 85296 Phone: 480-558-5131 | |
Melissa Charlotte Marviglia, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3341 E Queen Creek Rd, Suite 109, Gilbert, AZ 85297 Phone: 480-621-8361 Fax: 480-621-8513 | |
Nathan A West, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3921 E Baseline Rd, Ste 105, Gilbert, AZ 85234 Phone: 480-503-2373 Fax: 480-503-2375 |