Mr Mark A Mottillo, PT | |
4247 W Ridge Rd Ste 104, Erie, PA 16506-1746 | |
(814) 833-7249 | |
(814) 838-2661 |
Full Name | Mr Mark A Mottillo |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4247 W Ridge Rd Ste 104, Erie, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598766024 | NPI | - | NPPES |
V0843B | Other | PA | UPMC |
85873 | Other | PA | HIGHMARK |
001689240005 | Medicaid | PA | |
5622458 | Other | PA | FIRST HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT007800L (Pennsylvania) | Primary |
Provider Name | Allegheny Clinic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark A Mottillo, PT 125 W Walnut St, Titusville, PA 16354-2517 Ph: (814) 827-0354 | Mr Mark A Mottillo, PT 4247 W Ridge Rd Ste 104, Erie, PA 16506-1746 Ph: (814) 833-7249 |
Mr. Mark R Kresse, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 151 W 36th St, Erie, PA 16508 Phone: 814-454-7433 | |
Bobby Lee Rainey, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2828 Sterrettania Rd, Erie, PA 16506 Phone: 814-456-6000 Fax: 814-456-6060 | |
Mr. Michael Steven Wahoff, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4950 Buffalo Rd Ste 104, Erie, PA 16510 Phone: 814-899-7000 Fax: 814-898-2198 | |
Erie County Care Management Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 155 W 8th St, Erie, PA 16501 Phone: 814-451-8400 | |
Elizabeth Meighen, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1645 W 8th St, Erie, PA 16505 Phone: 814-875-8700 | |
Courtney Mackowski, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3010 W Lake Rd, Erie, PA 16505 Phone: 814-833-2385 | |
Kerrigan Marie Rathbun, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4500 Pine Ave, Erie, PA 16504 Phone: 814-825-8900 Fax: 814-825-7599 |