Mr Kenneth Micko, PT | |
620 State Route 35, Middletown, NJ 07748-4224 | |
(732) 671-9560 | |
Not Available |
Full Name | Mr Kenneth Micko |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 620 State Route 35, Middletown, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114149382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT40QA01024400 (New Jersey) | Primary |
Provider Name | Bridgeway Care At Home Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104383421 PECOS PAC ID: 6406198373 Enrollment ID: O20190424001051 |
Mailing Address | Practice Location Address |
---|---|
Mr Kenneth Micko, PT 620 State Route 35, Middletown, NJ 07748-4224 Ph: (732) 671-9560 | Mr Kenneth Micko, PT 620 State Route 35, Middletown, NJ 07748-4224 Ph: (732) 671-9560 |
Evolve Physical Therapy And Wellness Center Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 41 Pate Dr, Middletown, NJ 07748 Phone: 908-812-4643 | |
Dr. Jessica Brooke Golden, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 Arose Ln, Middletown, NJ 07748 Phone: 732-290-5185 Fax: 732-612-1410 | |
Peter Terilli, PT, DPT ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 268 Pelican Rd, Middletown, NJ 07748 Phone: 585-730-0913 | |
Meaghan Dowdell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1215 Highway 35, Middletown, NJ 07748 Phone: 732-639-0068 | |
Ms. Erika Weber, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1676 Highway 35, Middletown, NJ 07748 Phone: 732-533-5193 Fax: 732-451-3615 | |
Mrs. Liliane Bittencourt Scafidi, P.T.,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 403 April Way, Middletown, NJ 07748 Phone: 774-488-9513 |